Allergic Reactions and Anaphylaxis
EB Medicine
JANUARY 17, 2023
Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.
EB Medicine
JANUARY 17, 2023
Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.
Emergency Medicine Education
AUGUST 10, 2024
Biphasic anaphylaxis: A review of the literature and implications for emergency management Corticosteroids in management of anaphylaxis; a systematic review of evidence
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RebelEM
DECEMBER 5, 2023
While the evidence is not strong, those who have been undertreated, experienced delays in treatment, or required multiple injections of epinephrine are more prone to experience a recurrence of symptoms ( Ellis 2007 , Liu 2020 ). Updated Anaphylaxis Guidelines (2020) References Lieberman P. Biphasic Anaphylactic Reactions.
Pediatric Education
AUGUST 18, 2024
Known side effects: Pungent breath and body odor Nausea/dyspepsia Allergic reactions Skin irritant and burns (especially if used crushed/cut bulb is used under occlusion) – raw garlic should not be used on any skin surface because of the risk of irritation/burn Drug interference – can possible potentiate the drugs effects (i.e.
EMDocs
JUNE 8, 2024
Dilation of conjunctival vessels resulting in hyperemia and edema (A) is the underlying pathophysiology of conjunctivitis, which can be brought on by infection or allergic reaction. McGraw Hill, 2020. Close follow-up within 48 hours with an ophthalmologist is appropriate for ongoing monitoring and care. and John O.
EMDocs
FEBRUARY 7, 2024
Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction. Reactions are usually minor: transient warmth, pruritis at injection site that resolves. 2020 Apr;46(2):100-109. Diabetes Metab. Davidson MH. Am J Cardiol. Gallwitz B.
Mind The Bleep
JULY 15, 2023
Steroid resistance Failure to achieve complete remission after 8 weeks of prednisolone at 60mg/m2/day Differentials Heart failure – would present with oedema, shortness of breath, cyanosis Allergic reaction – presents with facial oedema, pruritus. Paediatric Nephrology , 1409-1418. Daehn IS, D. Goyal S, D. Goyder K, H.
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