2020 Allergic Reactions Wellness 
RebelEM
JANUARY 23, 2023
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.
EMDocs
JUNE 8, 2024
Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. McGraw Hill, 2020. Orbital hemorrhage: preseptal is less dangerous and more obvious on exam. and John O. Weiner, Gabrielle.
EMDocs
FEBRUARY 7, 2024
Multiple well-designed, multicenter, multinational studies suggest GLP-1 agonists are associated with improved glucose control in diabetes type 2 and approximately a 15% reduction in weight over 1-2 years (around 2/3s of patients regain weight if treatment is stopped). 2020 Apr;46(2):100-109. Obesity affects over 40% of U.S.
Taming the SRU
MARCH 31, 2023
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.”
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. This causes a positive feedback mechanism with the liver producing more albumin.
EMDocs
AUGUST 31, 2023
On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. 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.
EMDocs
JANUARY 3, 2024
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 2.5 120.008693.
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