Remove Anaphylaxis Remove Shock Remove Wellness
article thumbnail

Tasty Morsels of Critical Care 048 | Anaphylaxis

Emergency Medicine Ireland

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.

article thumbnail

Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. Finally — It is well to remember that the amount of ST segment deviation in ECG #1 is extreme! Shortly after receiving epinephrine, the patient developed new leg cramps and chest pain.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Vasopressor Nonresponse

Northwestern EM Blog

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

article thumbnail

Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

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. Note that antivenom will NOT reverse anaphylaxis on its own. In severe cases this can lead to systemic bleeding and even hemorrhagic shock.

article thumbnail

Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

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] MI or stroke).

article thumbnail

Grand Rounds Recap 4.19.23

Taming the SRU

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

article thumbnail

REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

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.