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Allergic Reactions and Anaphylaxis

EB Medicine

Announcements: The interactive Clinical Pathways have launched and they are available for free! — 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 (..)

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Adrenaline: The Life-Saving Drug in Medical Emergencies

Emergency Live

A Crucial Ally Against Severe Allergic Reactions Adrenaline, also known as epinephrine, plays a vital role in the human body, preparing it to respond quickly to stressful or dangerous situations.

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Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

RebelEM

Do you pretreat the patient prior to CT scan or proceed without delay and risk an allergic reaction? Administer the pretreatment medications as this should prevent any severe allergic reaction. However, the patient tells you she has a history of IV contrast allergy.

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Rash Week! An atypical antibiotic reaction

PEMBlog

It’s Serum Sickness Like Reaction! This is a delayed allergic reaction to an antibiotic. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. The child has fever and swollen feet as well. The main treatment is discontinuing the antibiotic.

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Anaphylactic Shock

RebelEM

Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal.

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Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after accidentally eating a potential allergen, then developing an itchy full body rash and diarrhea. In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis.

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Toss Up: A Little Bleeding, or A Lot of Platelets

EM Literature of Note

Platelets, like any blood product, are associated significant risks, not limited to acute lung injury, transfusion-related circulatory overload, allergic reactions, and more.