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Allergic Reactions and Anaphylaxis

EB Medicine

— 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 Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered (..)

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Pediatric Balanitis and Balanoposthitis

Pediatric EM Morsels

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 (..)

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What Are Potential Problems of Using Povidone-Iodine?

Pediatric Education

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.

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Gianotti-Crosti Syndrome in Children

Pediatric EM Morsels

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

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

RebelEM

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.