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Grand Rounds Recap 4.19.23

Taming the SRU

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.

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Approach to Shock

Pediatric Emergency Playbook

Is this in an infarction, an infection, a poisoning? 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. Now , we look at contractility. How FAST you FILL the PUMP and SQUEEZE Is there a problem with the PUMP?

Shock 40
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ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

Case, continued: A 2-year-old boy was admitted to your hospital in stable condition after a copperhead snake bite to the right lower leg. He was administered 10 vials of Crotalidae equine immune F(ab’) 2 (ANAVIP®) at the outside hospital before transfer to your referral center. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms.

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Grand Rounds Recap 8.16.23

Taming the SRU

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

Sepsis 95