Allergic Reactions and Anaphylaxis

EB Medicine

JANUARY 17, 2023

Announcements: The interactive Clinical Pathways have launched and they are available for free! — In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department. Intro The number of ED visits and hospitalizations (..)

Allergic Reactions

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department

Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

RebelEM

DECEMBER 5, 2023

How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? Bottom Line Up Top: After prompt recognition and appropriate treatment with IM epinephrine, the risk of biphasic reactions are exceedingly low. mg of intramuscular (IM) epinephrine for anaphylaxis. This is called a biphasic reaction.

Anaphylaxis

Anaphylaxis Allergic Reactions Emergency Department EMS

REBEL Core Cast 108.0 – Angioedema

RebelEM

SEPTEMBER 13, 2023

Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Features Urticaria and pruritis Rapid onset (1-2 hours) IgE Dependent (Type I Hypersensitivity) Reactions An allergen cross-links two or more IgE molecules on mast cells or basophils and initiates a signal cascade leading to degranulation.

Allergic Reactions

Allergic Reactions Airway Management Anaphylaxis Emergency Department

Anaphylaxis, chest pain, and ST elevation in aVR

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

Anaphylaxis Allergic Reactions EKG/ECG Shock

Steroid and Allergy

Emergency Medicine Education

AUGUST 10, 2024

Biphasic anaphylaxis: A review of the literature and implications for emergency management Corticosteroids in management of anaphylaxis; a systematic review of evidence

Allergic Reactions

Allergic Reactions Anaphylaxis Emergency Department

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

RebelEM

JANUARY 23, 2023

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms.

Allergic Reactions

Allergic Reactions Anaphylaxis Emergency Department Urgent Care

emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

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

Allergic Reactions Anaphylaxis Dehydration Wellness

What Are Potential Problems of Using Povidone-Iodine?

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

Allergic Reactions Poisoning Pediatrics Infectious Diseases

Grand Rounds Recap 3.15.23

Taming the SRU

MARCH 31, 2023

massive bee envenomation - R4 Capstone - Hydrocephalus - cpc: brain tumor - hyperviscosity syndromes - the language of being well & embracing fear in emergency medicine tamingthesru: Massive bee envenomation WITH dr. Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction (..)

Allergic Reactions

Allergic Reactions Seizures Anaphylaxis Leadership

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

SEPTEMBER 1, 2018

Jeff: Hypotension should be treated with isotonic fluids and, as usual, anaphylaxis should be treated with the usual cocktail of antihistamines and epinephrine at first IM and then via infusion if refractory. Note that antivenom will NOT reverse anaphylaxis on its own. Regardless, the treatment is the same – epinephrine.

Emergency Department

Emergency Department Poisoning Anaphylaxis Allergic Reactions

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

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

Allergic Reactions Anaphylaxis Poisoning EMS

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

RebelEM

AUGUST 3, 2023

Patients with a history of anaphylaxis with any drug were excluded from this trial Open-label study (i.e. randomization) as per protocol (i.e. eligibility to screened ratio) Feasibility of recruitment defined as proportion of patients consenting to participate in the study protocol from eligible patients (i.e.

Anaphylaxis

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases

Emergency Care Today