The Skeptics' Guide to EM

SEPTEMBER 16, 2017

Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. Guest Skeptic: Dr. Anand Swaninathan is an Assistant Professor of Emergency Medicine at NYU/Bellevue Hospital in the Department of Emergency Medicine. J Allergy Clin Immunol Pract 2017.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

Taming the SRU

FEBRUARY 12, 2024

She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Hospital Course Based on the primary survey, no acute airway interventions were undertaken. The patient is agitated on a backboard with C-collar in place.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Northwestern EM Blog

FEBRUARY 14, 2022

ICU length of stay, hospital length of stay, ventilator-dependent days, or rate of renal replacement therapy: these are all things that matter to our patients and to our health systems and they are more fruitful targets when we investigate interventions.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Pediatric Emergency Playbook

JUNE 1, 2016

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Fluid balance and cardiac function in septic shock as predictors of hospital mortality. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation? Treat with epinephrine.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EB Medicine

JANUARY 17, 2023

— 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 (..)

Allergic Reactions 52

Allergic Reactions Anaphylaxis Infectious Diseases Emergency Department 52

Don't Forget the Bubbles

JUNE 12, 2023

Elaine Bromiley went into hospital for a routine operation. Max McKenzie was an otherwise healthy teenager but died from a hypoxic brain injury sustained during food anaphylaxis-related bronchospasm/asthma. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

Resuscitation 145

Resuscitation Anaphylaxis Best Practices Operations 145

Taming the SRU

SEPTEMBER 16, 2024

Incidence and analysis of acute transfusion reactions in a hospital-based hemovigilance system at a tertiary care center in Bangladesh.” Blood transfusion complications and associated factors among blood-transfused adult patients at Debre Markos Comprehensive Specialized Hospital, Ethiopia: A Cross Sectional Study.” 10, 19 May 2022, p.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

EMDocs

MAY 25, 2023

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.

Seizures 91

Seizures Administration Anaphylaxis Outcomes 91

Mind The Bleep

OCTOBER 17, 2024

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. Pre-hospital medicine is not always glamorous! Author: Sarah Fleetwood-Walker – Final Year Medical Student Reviewer: Dr Joshua Grubb – MTB Pre-Hospital Medicine Lead

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

PHARM

SEPTEMBER 4, 2024

Nick has now evolved the concept to the point it is nationally and internationally recognised and his designs and teaching appear in many of the rural and tertiary hospitals across Australia. He has also established a Safe Airway society in Australia.

Anaphylaxis 52

Anaphylaxis Hospitals 52

EM Guide Wire

NOVEMBER 2, 2020

3.08; P = 0.0008) and hospital admission (RR, 0.55; 95% CI, 0.31-0.95; Overall, the use of magnesium sulfate did not improve hospital admission rates. mg inhaled over the first hour of therapy Followed by 0.5 mg may be nebulized Q4-6 hours. 0.95; P = 0.03). Primary outcome was discharge to home at 24 hours. final FEV1 was 51.1%

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 52

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. BASICS responders have additional skills and can provide pre-hospital emergency care to patients delivering time-critical interventions to improve outcomes.

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Wellness 52

RebelEM

MAY 15, 2024

High Risk Patients will need hospitalization and IV antibiotics. This will have been formulated based on local resistance patterns and likely with input from your institution’s oncologists.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

PulmCCM

MAY 8, 2023

Among 1150 patients considered high risk for aspiration at 15 French hospitals, those randomized to receive remifentanil had a higher rate of severe complications of intubation (aspiration, hypoxemia, hypotension, arrhythmia, cardiac arrest, or anaphylaxis), compared to those receiving neuromuscular blockade.

Stroke 52

Stroke Blood Transfusions Hospice Anaphylaxis 52

Taming the SRU

MAY 1, 2023

Trauma/Pre-Hosp Optimal Out-of-Hospital Blood Pressure in Major Traumatic Brain Injury: A Challenge to the Current Understanding of Hypotension Link: [link] Bottom Line: Think about maintaining normotension rather than simply avoiding hypotension in isolated TBI. and NPV(50%).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

EB Medicine

SEPTEMBER 1, 2018

Nachi: Right, but in Australia, not only are the snakes more venomous but the hospital transport distances are much longer, so, basically they sacrifice the limb to potentially save a life. Note that antivenom will NOT reverse anaphylaxis on its own. Regardless, the treatment is the same – epinephrine.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Downeast Emergency Medicine

APRIL 26, 2021

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1]

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PHARM

OCTOBER 4, 2024

A wheeze James Tsindos developed as he was wheeled into a hospital was the “sliding doors moment” healthcar… — Read on www.9news.com.au/national/james-tsindos-death-inquest-expert-says-red-flag-missed-in-hospital-before-anaphylactic-death-from-deliveroo-order/b6c49dba-538a-41bb-8ddc-8538a0038d66

Hospitals 40

Hospitals Anaphylaxis 40

Taming the SRU

OCTOBER 25, 2023

100U (30-60 min prior), 0.25-0.375/100U

Blood Transfusions 98

Blood Transfusions Stroke Hospitals Anaphylaxis 98

Broome Docs

JANUARY 27, 2025

Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia: A Systematic Review and Meta-Analysis. Adrenaline Auto-Injectors for Preventing Fatal Anaphylaxis. Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis: The ADAPT-Sepsis Randomized Clinical Trial. 2024 Oct 9.

Sepsis 101

Sepsis Anaphylaxis Hospitals Ultrasounds 101

Pediatric EM Morsels

MARCH 7, 2025

Tranexamic Acid Use in United States Children’s Hospitals. of IV form TXA [O’Neill 2020] Inexpensive ! Crit Care Explor. 2020;2(1):e0075. Published 2020 Jan 29. doi:10.1097/CCE.0000000000000075 0000000000000075 Nishijima DK, Monuteaux MC, Faraoni D, et al. J Emerg Med. 2016;50(6):868-874.e1. doi:10.1016/j.jemermed.2016.02.004

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

PEMBlog

FEBRUARY 22, 2024

A potential for adverse reactions to an injection like anaphylaxis. Anaphylaxis can happen after IV infusion and it’s been rarely reported after I’m injection, like winning the Powerball odds. Home delivered infants don’t have access to immediate vitamin k prophylaxis at the same rates that hospitalized infants do.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95