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Ben McKenzie, EM physician and a PhD candidate at the University of Melbourne studying the topic of resuscitation algorithms in anaphylaxis and asthma. McKenzie on a mission to prevent deaths from anaphylaxis and asthma by educating emergency providers around the world using his AMAX4 algorithm as a framework.
How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? mg of intramuscular (IM) epinephrine for anaphylaxis. What The Evidence Says: Prompt recognition of anaphylaxis is imperative. Updated Anaphylaxis Guidelines (2020) References Lieberman P. His vital signs are normal. The patient is given 0.5
The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.
Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This? Her research focuses on prehospital care of children with anaphylaxis. She is an executive lead for the EMS for Children Innovation and Improvement Center. Reference: Remick KE, et al.
Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Welcome to EM Board Bombs Happy Hour. Lets talk smoke and mirrors in anaphylaxis, why its critical to concentrate on only one treatment that helps these patients, and how to make a dirty Epi drip.
Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com Welcome to EM Board Bombs Happy Hour. Let’s talk smoke and mirrors in anaphylaxis, why its critical to concentrate on only one treatment that helps these patients, and how to make a dirty Epi drip.
In anaphylaxis, think, “If A, B or C, give E.” Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours.
Reference: EM@3AM – Heat Stroke Case 2: 40-year-0ld female feels unwell but no other specific complaints. EM Educator series: When sepsis becomes not so straightforward emDOCs: Patient with sepsis not improving REBEL EM: Occult Causes of Non-Response to Vasopressors Stay tuned for Part 2! ROS unremarkable. Am J Emerg Med.
Today we look at anaphylaxis. Today we look at anaphylaxis. A better description for what it looks like goes as follows: Anaphylaxis is highly likely in the following scenarios * acute onset with skin or mucosal involvement plus at least one of respiratory compromise or reduced BP. In many ways this is fairly straightforward.
These chemicals can recruit other cells, like eosinophils, and may lead to anaphylaxis. PMID 18768946 Post Created By: Anand Swaminathan MD, MPH (Twitter @EMSwami ) Post Peer Reviewed By: Salim Rezaie MD (Twitter @SRRezaie) The post REBEL Core Cast 108.0 – Angioedema appeared first on REBEL EM - Emergency Medicine Blog.
The year 2016 was one of the most productive one in the entire 7 year history of EM Cases with a total of 29 podcast releases, the introduction of the CritCases blog, the Q & A Pearl of the Week, Just The Nuggets emails, BEEM Cases, the expansion of the Waiting to Be Seen blog, the second EM Cases Digest ebook and the first ever EM Cases Course.
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. J Allergy Clin Immunol. PMID: 14767453.
2020, September 26) EM@3AM: Marine Animal Bites and Stings. Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). Philadelphia: Elsevier Saunders; 2014:805-807. Dustin Taliaferro, Dustin, Cynthia Santos, MD, Alex Koyfman, MD, and Brit Long. link] Blohm E, Brush D. Marine Envenomations.
And for most forms, EM physicians are not typically shocked by shock. AnaphylaxisAnaphylaxis 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.
He is also part of REBEL EM, The Teaching Course, […] The post SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema first appeared on The Skeptics Guide to Emergency Medicine. He is also part of REBEL EM , The Teaching Course , EMRAP and CoreEM. display_podcast] Date: September 12th, 2017 Reference: Sinert et al.
Causes of stridor foreign bodies infections – croup, epiglottitis, tracheitis; retropharyngeal or other deep neck space infection anaphylaxis / angioedema laryngeal or … Continue reading →
of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.
EMS was bagging him on arrival Primary notable for Compromised Airway Protection, bilateral Breath sounds, strong pulses,GCS 3 CT images of Head, Chest, Abdomen, Pelvis, and Spine No acute findings pH of 6.75
If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Jeff: Hypotension should be treated with isotonic fluids and, as usual, anaphylaxis should be treated with the usual cocktail of antihistamines and epinephrine at first IM and then via infusion if refractory.
Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms. 9 This effect may be especially prominent in the setting of rattlesnake envenomation, where coagulopathic effects are more prominent.
Patients with a history of anaphylaxis with any drug were excluded from this trial Open-label study (i.e. appeared first on REBEL EM - Emergency Medicine Blog. randomization) as per protocol (i.e. randomization) as per protocol (i.e. This limits generalizability to patients with a score of 2.
2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. of IV form TXA [O’Neill 2020] Inexpensive ! Effectiveness and safety of tranexamic acid in pediatric trauma: A systematic review and meta-analysis. Am J Emerg Med. 2022;55:103-110. doi:10.1016/j.ajem.2022.01.069
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