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

RebelEM

antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Exclusion: Presented with acute anaphylaxis, and their acute anaphylactic symptoms had not yet been treated. Patients were randomized in a 1:1 ratio.

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

The Skeptics' Guide to EM

Case: A 63-year-old female presents to the emergency department (ED) with chest pain for the past eight hours. The remainder of her Wells’ criteria are unremarkable. There have also been more recent adjustments to D-Dimer threshold based on clinical probability as calculated by a trichotomized Wells score (8). Moreover,

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

RebelEM

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.

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2268 Thoracic wall regional blocks: safe and effective approach to analgesia for rib fractures in ED

Emergency Medicine Journal

Aims and Objectives Rib fractures account for over 15% of all trauma attendances in the Emergency Department. ED Physicians are already well-versed in the use of ultrasound. Our study demonstrates that ED Physicians can safely administer early SAPB and ESP to patients with multiple rib fractures within the Emergency Department.

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SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema

The Skeptics' Guide to EM

Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department. Though this disorder is routinely treated with medications for anaphylaxis (i.e. We covered ACE-I induced angioedema and reviewed the 2015 icatibant study on SGEM#110.

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52 in 52 – #36: Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

EMDocs

Study included children, as well as adults. population at large Enrollment was terminated at an interim analysis due to predefined futility criteria that suggested that there was a 1% chance that carrying the trial to completion would demonstrate a most effect or least effective treatment. This increases applicability or ED care.

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Diagnostics: Blood Transfusion Reactions

Taming the SRU

In the era of modern medicine, blood transfusions are commonplace, especially in the emergency department. While they are a lifesaving staple of medicine, they also come with risks that emergency providers must be aware of. Receiving more than one unit of blood product is also associated with an increased risk for reaction.