Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. JAMA Neurol.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

SEPTEMBER 1, 2018

You may have heard of the recommendations for incision / excision, use of venom extraction devices, tourniquets, chill methods and even electroshock therapy – well these methods are all OUT. Nachi: Not only are they out, they actually worsen outcomes, so definitely don’t pursue any of them.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Taming the SRU

MAY 1, 2023

In some individuals, the urushiol can result in anaphylaxis (Type I hypersensitivity reaction) Treatment Soothing measures Oral antihistamines Topical corticosteroids Nicotinic toxins Mechanism: Over-stimulates nicotinic receptors Acts as an agonist at nicotinic acetylcholine receptors in the sympathetic and parasympathetic nervous systems, as well (..)

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

RebelEM

AUGUST 3, 2023

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. randomization) as per protocol (i.e. randomization) as per protocol (i.e.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

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 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

Taming the SRU

OCTOBER 25, 2023

It should be made based on a balance between risk of thromboembolic events vs recurrent bleeding (risk-benefit), as well as cost-benefit. Ultimately, patients with variceal bleeding require endoscopic variceal ligation (EVL) but it is important to understand what therapies should be initiated promptly in the ED to improve overall outcomes.

Blood Transfusions 98

Blood Transfusions Hospitals Stroke Anaphylaxis 98

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

PEMBlog

FEBRUARY 22, 2024

Well, a lot of people out there are actually refusing vitamin k for their newborns. Well, families state that they have concerns about the preservative in the injection, maybe that it could cause autism. A potential for adverse reactions to an injection like anaphylaxis. So why am I covering this topic? It doesn’t.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Broome Docs

JANUARY 27, 2025

PMID: 39578750 Bottom line: This is a well done observational study that demonstrates an association between cell phone use and disposition to home, but I think the complexity really highlights the difficulty of making strong conclusions from observational data, and I cant imagine that this data is at all helpful clinically. (I 2024 Oct 9.

Sepsis 101

Sepsis Anaphylaxis Hospitals Ultrasounds 101