PEMBlog

FEBRUARY 9, 2024

It’s Serum Sickness Like Reaction! This is a delayed allergic reaction to an antibiotic. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. The child has fever and swollen feet as well. The main treatment is discontinuing the antibiotic.

Allergic Reactions 52

Allergic Reactions Hospitals Wellness 52

RebelEM

JUNE 14, 2023

Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal.

Shock 145

Shock Allergic Reactions Resuscitation EMS 145

Dr. Smith's ECG Blog

MARCH 1, 2023

Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after accidentally eating a potential allergen, then developing an itchy full body rash and diarrhea. In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis.

Anaphylaxis 52

Anaphylaxis Allergic Reactions EKG/ECG Shock 52

RebelEM

SEPTEMBER 13, 2023

Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management.

Allergic Reactions 105

Allergic Reactions Airway Management Anaphylaxis Emergency Department 105

RebelEM

JANUARY 23, 2023

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Diphenhydramine versus nonsedating antihistamines for acute allergic reactions: a literature review. Resources: Banerji A, Long AA, Camargo CA Jr. Allergy Asthma Proc. Ledford, D.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Pediatric EM Morsels

AUGUST 2, 2024

Most often occurs in uncircumcised males [Assim 2022] Buildup of sloughed and dead skin, microorganisms, and secretions between the foreskin and the glans Incidence in children shown to range from 0.05% up to 20% [Kayaba 1996, Hsieh 2006] Between 6% and 20% in uncircumcised men [Assim 2022, Perkins 2024] Pediatrics usually presents between 2y and 5y (..)

Pediatrics 152

Pediatrics Allergic Reactions EMS Infectious Diseases 152

EM Literature of Note

JULY 27, 2023

Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more.

Allergic Reactions 68

Allergic Reactions Outcomes Ultrasounds Hospitals 68

AED Leader

JULY 9, 2024

They are made from hypoallergenic materials that minimize the risk of skin irritation or allergic reactions. Enhanced Patient Safety Safety is paramount when using AEDs. High-quality defibrillator pads are designed with patient safety in mind.

Allergic Reactions 52

Allergic Reactions Patient Safety Shock Pediatrics 52

RebelEM

DECEMBER 5, 2023

Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Time of Onset and Predictors of Biphasic Anaphylactic Reactions: A Systematic Review and Meta-analysis.

Anaphylaxis 81

Anaphylaxis Allergic Reactions Emergency Department EMS 81

Pediatric Education

JUNE 18, 2023

You don’t seem to be having an allergic reaction to it, and it also doesn’t look like this is poison ivy or something else like that that you might have fallen into. Lots of water and gentle soap is usually all you need. I think the iodine is possibly irritating it though.

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

RebelEM

SEPTEMBER 28, 2023

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% of patients in the pharmaco-invasive treatment achieved ≥50% resolution in the lead with the greatest ST-segment elevation Median decline from 3.0 Primary PCI: 78.4% Primary PCI: 13.3%

EKG/ECG 138

EKG/ECG Allergic Reactions Shock Stroke 138

EMDocs

JUNE 8, 2024

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. Close follow-up within 48 hours with an ophthalmologist is appropriate for ongoing monitoring and care.

EMS 81

EMS Allergic Reactions Poisoning Emergency Department 81

Pediatric Education

AUGUST 18, 2024

Known side effects: Pungent breath and body odor Nausea/dyspepsia Allergic reactions Skin irritant and burns (especially if used crushed/cut bulb is used under occlusion) – raw garlic should not be used on any skin surface because of the risk of irritation/burn Drug interference – can possible potentiate the drugs effects (i.e.

Allergic Reactions 40

Allergic Reactions Burns Pediatrics 40

Ziqitza HealthCare Ltd

FEBRUARY 13, 2024

Allergic Reactions : Some types of skin diseases are caused due to exposure to allergens. Other viral skin disorders include warts ( growths) on the skin, which are caused by Human Papillomavirus (HPV). Fungal Infections: Fungus causes skin fungal infections.

Allergic Reactions 52

Allergic Reactions Ambulance Services Wellness 52

Taming the SRU

MARCH 31, 2023

Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction occurs in minutes Clinical Definition: Acute onset of illness with involvement of the skin, mucosal tissue or both + one of the following Respiratory compromise Reduced BP Or, acute onset of illness with at least (..)

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EMDocs

FEBRUARY 7, 2024

Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction. Reactions are usually minor: transient warmth, pruritis at injection site that resolves.

Allergic Reactions 75

Allergic Reactions Anaphylaxis Dehydration Wellness 75

Pediatric Emergency Playbook

AUGUST 1, 2016

The idea is not to tape on the growing mound itself, because the mound may pull at the anchored skin and set a nuclear chain reaction of annoyance and restlessness – and potentially a failed procedure. The swelling will look indurated, a pinkish red. It is supposed to swell and look ugly.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Administration 52

Emergency Medicine Cases

APRIL 23, 2024

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic (..)

EMS 107

EMS Resuscitation Outcomes Allergic Reactions 107

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.

Allergic Reactions 52

Allergic Reactions Shock Hospitals Wellness 52

EM Ottawa

AUGUST 17, 2023

Drug rashes are fairly common, but like much of dermatology, diagnostic clarification can be hard to achieve. Here, we present a standardized approach to drug rashes in the Emergency Department.

Emergency Department 98

Emergency Department Allergic Reactions 98

Pediatric EM Morsels

SEPTEMBER 27, 2024

Not an allergic reaction. Has been known to occur following immunizations. Good to anticipate to avoid any additional cause of vaccine hesitancy.

Allergic Reactions 161

Allergic Reactions Pediatrics Emergency Department EMS 161

EB Medicine

MARCH 4, 2020

Page 5 Table 1- Distinguishing Factors in the Differential Diagnosis of AGE History: Table 2, page 6 has key questions to ask.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

EMDocs

AUGUST 31, 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.

Allergic Reactions 72

Allergic Reactions Anaphylaxis Poisoning EMS 72

Mind The Bleep

APRIL 20, 2024

Reactions typically occur up to 2 hours after cow’s milk protein ingestion, usually within 20–30 minutes. ( I gE = I mmediate) Non-IgE-mediated food allergy involves a cell-mediated mechanism and reactions are typically delayed. They usually manifest between 2 and 72 hours after cow’s milk ingestion.(

Allergic Reactions 52

Allergic Reactions Hospitals 52

RebelEM

AUGUST 3, 2023

What They Did: Parallel, 2-arm, noninferiority, open-label, multicenter, international randomized clinical trial Occurred in 6 specialized centers (3 in North America – US & Canada and 3 Outside of North America – Australia) Trial took place from June 2021 to December 2022 Used PEN-FAST to risk stratify patients.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

EB Medicine

SEPTEMBER 1, 2018

Jeff: Risk factors for developing allergic reactions to FabAV include a known allergy to papaya, papain, chymopapin, pineapple enzyme bromelain, and previous allergic reaction to FabAV. Most are mild and can be treated with your standard bundle of steroids, antihistamines, fluids and epi.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

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. 8 The device itself is 2 x 2.5

Allergic Reactions 86

Allergic Reactions Hospitals EMS Emergency Department 86

EB Medicine

DECEMBER 30, 2019

Parainfluenza, influenza, adenoviruses, coronaviruses, rhinoviruses, and enteroviruses are other causes. 4-6 Rhinoviruses have been shown to play a larger role in Asthma. Parainfluenza, influenza, adenoviruses, coronaviruses, rhinoviruses, and enteroviruses are other causes.4-6 4-6 * Rhinoviruses have been shown to play a larger role in Asthma.7

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

EMDocs

NOVEMBER 13, 2023

An understanding of the risks involved including allergic reaction, radiation exposure, contrast extravasation, and contrast-associated nephropathy allows for a thorough risk-benefit analysis prior to ordering these studies. References (1) Barkovich, E.

Stroke 86

Stroke Radiology Radiology Emergency Department 86

Sensible Medicine

JANUARY 3, 2024

COVID-19 vaccines seem to cause more allergic reactions, arrhythmia, general cardiovascular events, coagulation, hemorrhages, gastrointestinal, ocular, sexual organs reactions, and thrombosis. ” The EudraVigilance database compares the COVID-19 vaccine to the influenza vaccine.

CDC 140

CDC Allergic Reactions Hospitals COPD 140