article thumbnail

Allergic Reactions and Anaphylaxis

EB Medicine

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.

article thumbnail

Steroid and Allergy

Emergency Medicine Education

Biphasic anaphylaxis: A review of the literature and implications for emergency management Corticosteroids in management of anaphylaxis; a systematic review of evidence

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

RebelEM

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.

article thumbnail

Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Ann Emerg Med 2020. While the need for parenteral therapy is apparent in anaphylaxis, it’s more nebulous in minor and moderate non-life-threatening reactions such as urticaria.

article thumbnail

EM@3AM: Traumatic Iritis

EMDocs

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.

EMS 81
article thumbnail

Garlic for Ear Infections?

Pediatric Education

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.

article thumbnail

Nephrotic Syndrome

Mind The Bleep

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.