Anaphylaxis, Emergency Department and Wellness

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department

Emergency Department Poisoning Anaphylaxis Allergic Reactions

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

RebelEM

JANUARY 23, 2023

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.

Allergic Reactions

Allergic Reactions Anaphylaxis Urgent Care Emergency Department

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

The Skeptics' Guide to EM

JUNE 13, 2020

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,

Anaphylaxis

Anaphylaxis Emergency Department Wellness EKG/ECG

Vasopressor Nonresponse

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. To reverse these effects as well as refractory hypotension, hydrocortisone is the preferred agent due to both its glucocorticoid and mineralocorticoid properties.

Anaphylaxis

Anaphylaxis Shock Sepsis Resuscitation

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

EMDocs

MAY 25, 2023

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.

Seizures

Seizures Administration Anaphylaxis Outcomes

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

Emergency Medicine Journal

NOVEMBER 28, 2023

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.

Fractures

Fractures Anaphylaxis Emergency Department Ultrasounds

Being a BASICS Doctor

Mind The Bleep

OCTOBER 17, 2024

I am a GP at a large practice based in a town in southwest Scotland, and I also work as a doctor in the Emergency Department in our local district general hospital. Doctors can volunteer as responders with BASICS Scotland if they have undertaken a Pre-Hospital Emergency Care Course (PHECC). But it doesn’t stop there.

Ambulance Services

Ambulance Services Hospitals Anaphylaxis Wellness

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

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

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.

Anaphylaxis

Anaphylaxis Administration EMS Emergency Department

Grand Rounds Recap 8.16.23

Taming the SRU

SEPTEMBER 1, 2023

Shewakramani Sepsis is associated with 20-40% mortality Screening tools for detecting patient at risk for sepsis in the ED SIRS Criteria (more sensitive tool) Temp <36C (96.8F) or >38C (100.4F) HR >90 RR >20 WBC <4k or >12k (or >10% bands) qSOFA Score GCS <15 RR >22 SBP <100mmHg Overall, SIRS Criteria remains (..)

Sepsis

Sepsis Fractures Documentation/Coding Administration

Grand Rounds Recap 4.19.23

Taming the SRU

MAY 1, 2023

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).

Poisoning

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department

Severe Asthma Management in the ED

EM Guide Wire

NOVEMBER 2, 2020

Nebulized Mg sulfate treatment shows no significant effect on respiratory function or hospital admission High-Dose Magnesium Sulfate Infusion for Severe Asthma in the Emergency Department Efficacy Study All patients of 6–16 years old who failed to improve after 2 hours of standard therapy for asthma. 2015;169(2):186-188.

Pediatrics

Pediatrics Anaphylaxis Administration Hospitals

Diagnostics: Blood Transfusion Reactions

Taming the SRU

SEPTEMBER 16, 2024

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.

Blood Transfusions

Blood Transfusions Anaphylaxis Emergency Department Sepsis

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

RebelEM

AUGUST 3, 2023

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.

Anaphylaxis

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

MAY 15, 2024

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.

Infectious Diseases

Infectious Diseases Administration Sepsis Anaphylaxis

Diagnostics: GI Bleeding

Taming the SRU

OCTOBER 25, 2023

The specific etiologies of GI bleeds are numerous and will not be covered individually in this article, as often the exact origin is unknown at the time of Emergency Department evaluation. Instead, we will focus on areas of interest that may guide or change your management of these patients in the Emergency Department.

Blood Transfusions

Blood Transfusions Hospitals Stroke Anaphylaxis

Emergency Care Today

Episode 20 - Emergency Department Management of North American Snake Envenomations

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

Trending Sources

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

Vasopressor Nonresponse

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

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

Being a BASICS Doctor

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

Grand Rounds Recap 8.16.23

Grand Rounds Recap 4.19.23

Severe Asthma Management in the ED

Diagnostics: Blood Transfusion Reactions

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

REBEL Core Cast 122.0 – Neutropenic Fever

Diagnostics: GI Bleeding

Stay Connected