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EM@3AM: Traumatic Iritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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. and John O. Weiner, Gabrielle. Savvy Steroid Use.”

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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.

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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.

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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed. As with soldiers in war, we know that as soon as we stop doing, we will start feeling.”

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ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

Published online November 2020. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms. 9 This effect may be especially prominent in the setting of rattlesnake envenomation, where coagulopathic effects are more prominent. Influence of molecular size on tissue distribution of antibody fragments. 2016;8(1):113-119. Accessed May 7, 2022.

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What the Emergency Clinician Must Know about Remote Monitors in Heart Failure

EMDocs

10 This procedure has well-described rare complications including infection, blood loss, allergic reaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. Epub 2020 Dec 10. 8 The device itself is 2 x 2.5 2021 Jan;14(1):e008693.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Stroke 2020, 51 (1), 331-334. World Neurosurg 2020, 137 , e315-e320. J Trauma Acute Care Surg 2020, 88 (6), 875-887. References (1) Barkovich, E. .;

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