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EM@3AM: Traumatic Iritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. Orbital hemorrhage: preseptal is less dangerous and more obvious on exam.

EMS 81
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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.

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

RebelEM

appeared first on REBEL EM - Emergency Medicine Blog. 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% to 1.0mm Median amount of ST deviations declined from 15.0 Primary PCI: 78.4% Primary PCI: 13.3% RR 0.96; 95% CI 0.62 Primary PCI: 8.9

EKG/ECG 138
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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.

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

EMDocs

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. 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.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

You may have heard of the recommendations for incision / excision, use of venom extraction devices, tourniquets, chill methods and even electroshock therapy – well these methods are all OUT. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready.

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

RebelEM

appeared first on REBEL EM - Emergency Medicine Blog. 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.