Remove Administration Remove Allergic Reactions Remove EMS
article thumbnail

Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

RebelEM

Do you pretreat the patient prior to CT scan or proceed without delay and risk an allergic reaction? Administer the pretreatment medications as this should prevent any severe allergic reaction. The post Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

article thumbnail

STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

RebelEM

appeared first on REBEL EM - Emergency Medicine Blog. neoplasm, aneurysm, intracranial or spinal surgery) or recent trauma to head or cranium (i.e. Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% Primary PCI: 78.4% Primary PCI: 13.3%

EKG/ECG 137
Insiders

Sign Up for our Newsletter

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

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. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Allergy Asthma Proc. PMID: 17883909.

article thumbnail

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.

article thumbnail

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Unfortunately, this myokymia may not respond to antivenom administration and myokymia of the chest well and torso can necessitate intubation in extreme cases.

article thumbnail

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

EMDocs

Approximately 12 hours following F(ab’) 2 antivenom administration, the child is noted to have progressive swelling, firmness, tension, and pain of the right calf. doi:10.1080/19420862.2015.1111497 Antivenom administration North American Crotalinae snakebites – UpToDate. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms.

article thumbnail

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. Frequency of acute kidney injury following intravenous contrast medium administration: a systematic review and meta-analysis. References (1) Barkovich, E.

Stroke 103