Mind The Bleep

OCTOBER 17, 2024

This is also based on where you live and what resources are already available, as well as how you get on with your PHECC. Sandpiper provides responders with the ‘Sandpiper Bag’ – a unique approach to packaging emergency medical equipment, as well as automated external defibrillators (AEDs).

Ambulance Services 52

Ambulance Services Hospitals Anaphylaxis Wellness 52

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

Though this disorder is routinely treated with medications for anaphylaxis (i.e. There is no well-established treatment algorithm other than airway control if the angioedema is severe and appears to be causing a mechanical obstruction and cessation of the medication.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

Don't Forget the Bubbles

AUGUST 16, 2023

They include the following: Anaphylaxis As with any bite, there will be the transfer of bedbug salivary proteins into the prey. They can also cause more severe, systemic reactions such as anaphylaxis. Bacterial infection The bites usually heal well if left alone. This can eliminate any of the adult bedbugs as well as any eggs.

Anaphylaxis 52

Anaphylaxis Pediatrics Wellness 52

Emergency Medicine Journal

NOVEMBER 28, 2023

We reviewed individual patient notes, collecting data related to the BATTLE score, immediate and delayed complications (bleeding, organ injury, infection, LAST and anaphylaxis), and dynamic pain scores before and after the block. ED Physicians are already well-versed in the use of ultrasound.

Fractures 40

Fractures Anaphylaxis Emergency Department Ultrasounds 40

Taming the SRU

MARCH 31, 2023

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.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Taming the SRU

APRIL 17, 2023

Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. Anaphylaxis, hypoglycemia, cardiotoxicity, and neurotoxicity can all be seen following exposure to poisonous plants. Deadly Nightshade and Jimson Weed are well known among the poisonous plants.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Pediatric Education

JUNE 18, 2023

He and his mother had cleaned it well with soap and water and then used some iodine solution on his leg scrapes. They may contain additional active ingredients as well including alcohol. Patient Presentation A 12-year-old male came to clinic for his health maintenance examination.

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

EM Guide Wire

NOVEMBER 2, 2020

mcg/kg/min Can increase dose q30 min to max dose of 10 mcg/kg/min Can cause elevations in troponin If there hasn’t been improving, consider IM epinephrine instead Same as anaphylaxis dose 0.01 The BiPAP group had significantly higher initial RR as well as higher severity scores compared with the other group (p < 0.001).

Pediatrics 52

Pediatrics Anaphylaxis Emergency Department Administration 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. 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

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

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

EMDocs

AUGUST 31, 2023

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. 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.

Allergic Reactions 92

Allergic Reactions Anaphylaxis Poisoning EMS 92

RebelEM

AUGUST 3, 2023

Patients with a history of anaphylaxis with any drug were excluded from this trial Open-label study (i.e. 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.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Infectious Diseases Outcomes 52

ALiEM

MARCH 5, 2024

Cases of toxicity have been reported following ingestion of supplements as well as ingestion of willow bark tea [4,5]. However, most adverse reactions from willow bark supplements have been associated with people who have aspirin allergies, with numerous cases of anaphylaxis [6]. How does willow bark toxicity present? [7]

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

Taming the SRU

SEPTEMBER 16, 2024

There are a few other factors as well that may increase risk for a transfusion reaction but are likely not readily available on patient history or are outside the physician’s control. Other factors that could be readily elicited on history include a previous abortion in women and a diagnosis of malignancy in the patient being transfused.

Blood Transfusions 90

Blood Transfusions Anaphylaxis Emergency Department Sepsis 90

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

Blood Transfusions 98

Blood Transfusions Hospitals Stroke Anaphylaxis 98

Taming the SRU

SEPTEMBER 1, 2023

Shewakramani Sepsis is associated with 20-40% mortality Screening tools for detecting patient at risk for sepsis in the ED SIRS Criteria (more sensitive tool) Temp <36C (96.8F) or >38C (100.4F) HR >90 RR >20 WBC <4k or >12k (or >10% bands) qSOFA Score GCS <15 RR >22 SBP <100mmHg Overall, SIRS Criteria remains (..)

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. Int J Emerg Med.

Sepsis 101

Sepsis Anaphylaxis Hospitals Ultrasounds 101