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REBEL Core Cast 110.0 – On Shift Learning Pearls

RebelEM

In anaphylaxis, think, “If A, B or C, give E.” When reviewing a syncope ECG, scour it for WPW, Brugada, Hypertrophic Cardiomyopathy, Prolonged/Short QTc and ARVC. ” If the patient has compromise to airway, breathing or circulation, they should get immediate epinephrine.

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Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. During active chest pain an ECG was recorded: Meyers ECG interpretation: Sinus tachycardia, normal QRS complex, STD in V2-V6, I, II, III and aVF. Given the ECG changes, he was admitted for further workup.

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Vasopressor Nonresponse

Northwestern EM Blog

Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG.

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SGEM#295: Teacher Teacher – Tell Me How to Do It (Diagnose a PE)

The Skeptics' Guide to EM

An ECG, chest x-ray and troponin are all within normal limits and she has no calf swelling or tenderness. Low-value testing increases costs, ED length of stay and subjects patients to unnecessary ionizing radiation and risk of anaphylaxis from intravenous contrast dye (13-14). Moreover,

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Grand Rounds Recap 4.19.23

Taming the SRU

Patients must have EKG findings and meet one of a few other criteria (ie family history of sudden death, VF or VT episode, syncope, nocturnal agonal respirations) Most common in patients of Southeast Asian descent and the mean age of death from arrhythmia if untreated is in the 4th decade of life.

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On the Other Site …

EM Literature of Note

So, check out: The Journavx Hype Predicting Heart Failure from ECGs Whats the Best Fluid for Pancreatitis? The LLM Makes You Stronger A Look at Biphasic Anaphylaxis Another Demonstration of Bias In Pulse Oximetry A Radiology Decision-Support Fail Its a Substack, but Im not trying to milk anyone for money dont worry about that!