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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.

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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. J Allergy Clin Immunol. PMID: 14767453.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

Given her intracranial hemorrhages, significant attempts were made to improve coagulation including administration of IV vitamin K, 3 units of fresh frozen plasma, and administration of four-factor prothrombin complex concentrate (PCC, Kcentra). The patient is agitated on a backboard with C-collar in place.

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SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema

The Skeptics' Guide to EM

Your resident tells you that they recently read an article in the NEJM that argued for the administration of icatibant to usher along resolution of symptoms in ACE-I induced angioedema and asks whether you should consider this treatment. Though this disorder is routinely treated with medications for anaphylaxis (i.e.

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52 in 52 – #36: Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

EMDocs

mg/kg or 10 mg Seizures must persist for at least 5 minutes after administration of the prespecified benzodiazepines. In light of these data, I will give levetiracetam due to its less severe side effects and ease of administration. mg/kg or 10 mg Intravenous lorazepam 0.1 mg/kg or 4 mg Intravenous midazolam 0.2

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emDOCs Podcast – Episode 85: Tricky Cases Part 1

EMDocs

IV fluids administrated, IV vancomycin and piperacillin-tazobactam. Differential Diagnosis for patient: Infectious endocarditis, CNS infection or abscess, necrotizing soft tissue infection, toxic shock, obstructive pyelonephritis, toxic ingestion, TTP, anaphylaxis with primarily hemodynamic effects, thromembolic phenomenon.

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ACMT Toxicology Visual Pearl: The Bark with Some Bite

ALiEM

However, most adverse reactions from willow bark supplements have been associated with people who have aspirin allergies, with numerous cases of anaphylaxis [6]. Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. How does willow bark toxicity present? [7] British Journal of Haematology.