RebelEM

SEPTEMBER 28, 2023

In non-PCI-capable hospitals this goal is not always achievable due to delays in transfer. Background: Primary PCI is the recommended reperfusion strategy in patients with STEMI and should be initiated within 2 hours after first medical contact. In these cases, thrombolysis is recommended to improve morbidity and mortality. Primary PCI: 95.7%

EKG/ECG 137

EKG/ECG Allergic Reactions Shock Stroke 137

PEMBlog

FEBRUARY 9, 2024

The child has fever and swollen feet as well. It’s Serum Sickness Like Reaction! This is a delayed allergic reaction to an antibiotic. Your hospital might even have a specific clinic to follow this up – like the PATS – Penciling Allergy Testing Service at Cincinnati Children’s.

Allergic Reactions 52

Allergic Reactions Hospitals Wellness 52

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

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. This causes a positive feedback mechanism with the liver producing more albumin.

Allergic Reactions 52

Allergic Reactions Shock Hospitals Wellness 52

EB Medicine

SEPTEMBER 1, 2018

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. As for prehospital care, it’s actually pretty interesting stuff as recommendations have changed many times.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EMDocs

AUGUST 31, 2023

Case, continued: A 2-year-old boy was admitted to your hospital in stable condition after a copperhead snake bite to the right lower leg. He was administered 10 vials of Crotalidae equine immune F(ab’) 2 (ANAVIP®) at the outside hospital before transfer to your referral center. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms.

Allergic Reactions 94

Allergic Reactions Anaphylaxis Poisoning EMS 94

EMDocs

JANUARY 3, 2024

The goal of these devices is to detect a heart failure decompensation early and to reduce hospital admissions. 2 These implantable devices offer physiological parameters to direct therapies and reduce hospitalizations. The device group experienced 39% fewer HF hospitalizations over the study period.

Allergic Reactions 108

Allergic Reactions Hospitals EMS Emergency Department 108