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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This? JAMA Netw Open. JAMA Netw Open. JAMA Netw Open.

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Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. Comment by K EN G RAUER, MD ( 3/1 /2023 ): = Today's case by Dr. Meyers serves as a reminder of the important clinical entity known as diffuse subendocardial ischemia. The chest pain was described as sharp and radiated to both arms.

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SGEM #427: I Want a Treatment with a Short Course…for Pediatric Urinary Tract Infections

The Skeptics' Guide to EM

Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences. Reference: Zaoutis T, et al. JAMA Pediatr.

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

EMDocs

Accessed August 17, 2023. 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. Published online April 2021. Accessed May 7, 2022. link] Full prescribing information. Crotalidae polyvalent immune fab (ovine).

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

2023 observational study found increased risk of pancreatitis (adjusted HR of 9.09, 95% CI 1.25-66). Anaphylaxis and angioedema have been reported, primarily with exendin-based therapies such as exenatide and lixisenatide. 2023 Oct 5:e2319574. Accessed October 4, 2023. Accessed October 4, 2023. Available at [link].

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The PALACE Trial: Direct Oral PCN Challenge in Patients with Low-Risk PCN Allergy?

RebelEM

JAMA Intern Med 2023. Patients with a history of anaphylaxis with any drug were excluded from this trial Open-label study (i.e. JAMA Intern Med 2023. Paper: Copaescu AM et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Trial.

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

RebelEM

antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Exclusion: Presented with acute anaphylaxis, and their acute anaphylactic symptoms had not yet been treated. Ledford, D. Monroe EW, Jones HE.