EMCrit

AUGUST 10, 2023

AMAX4 for crashing anaphylaxis and asthma EMCrit Project by Scott Weingart, MD FCCM.

Anaphylaxis 71

Anaphylaxis 71

Board Bombs

JANUARY 16, 2022

Let’s talk smoke and mirrors in anaphylaxis, why its critical to concentrate on only one treatment that helps these patients, and how to make a dirty Epi drip. An action-packed episode covering all you need to know about anaphylaxis in 19 minutes. An action-packed episode covering all you need to know about anaphylaxis in 19 minutes.

Anaphylaxis 52

Anaphylaxis EMS 52

PHARM

JUNE 14, 2023

The AMAX4 algorithm for anaphylaxis/asthma. St.Emlyn’s – Emergency Medicine #FOAMed This post is from Australia and was brought to us by Dr Ben McKenzie. The events that precede this blog are … Just a routine resuscitation. St Emlyn’s

Anaphylaxis 52

Anaphylaxis Resuscitation 52

EM Updates

JANUARY 14, 2021

emergency management of anaphylaxis (pdf) emergency management of anaphylaxis (png)

Anaphylaxis 52

Anaphylaxis 52

Life in the Fast Lane

JUNE 11, 2023

Neil Long and Chris Nickson AMAX4 Algorithm AMAX4 is a best-practice algorithm for critical care clinicians in anaphylaxis and asthma resuscitation.

Anaphylaxis 145

Anaphylaxis Best Practices Resuscitation Pediatrics 145

Emergency Medicine Cases

JANUARY 18, 2022

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

Anaphylaxis 52

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia 52

Emergency Medicine Ireland

JULY 5, 2021

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.

Anaphylaxis 40

Anaphylaxis Radiology Radiology Shock 40

Dr. Smith's ECG Blog

MARCH 1, 2023

In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. 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.

Anaphylaxis 52

Anaphylaxis Allergic Reactions EKG/ECG Shock 52

Board Bombs

NOVEMBER 5, 2019

Check out our interactive question bank podcast- the FIRST of its kind here: emrapidfire.supercast.tech Recognizing anaphylaxis is not always obvious. Check out our interactive question bank podcast- the FIRST of its kind here: emrapidfire.supercast.tech Recognizing anaphylaxis is not always obvious.

Anaphylaxis 40

Anaphylaxis 40

JournalFeed

MAY 15, 2021

We cover a new PID treatment add-on, LP after CT for SAH, repeat epinephrine dosing for anaphylaxis, ketofol for children, and POCUS for peritonsillar abscess. It’s the JournalFeed Podcast for the week of May 10-14, 2021.

Anaphylaxis 52

Anaphylaxis 52

JournalFeed

MAY 30, 2020

We cover severe Kawasaki-like illness in children related to COVID-19, anaphylaxis guidelines for 2020, NT-proBNP + Canadian Syncope Rule, best practices for academic medicine remote work, and the FRESH RCT. Here is the JournalFeed Podcast for the week of May 25-29, 2020.

Anaphylaxis 52

Anaphylaxis Best Practices Academics 52

The Skeptics' Guide to EM

JANUARY 6, 2024

Her research focuses on prehospital care of children with anaphylaxis. […] The post SGEM #425: Are You Ready for This? Her research focuses on prehospital care of children with anaphylaxis. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al.

Emergency Department 116

Emergency Department Pediatrics Anaphylaxis Leadership 116

RebelEM

OCTOBER 11, 2023

In anaphylaxis, think, “If A, B or C, give E.” Take Home Points: Patients with recent onset atrial fibrillation can safely be cardioverted if they are 1) on anticoagulation 2) Low risk based on CHADS-VASC with onset < 48 hours or 3) High risk based on CHADS-VASC with onset < 12 hours.

Anaphylaxis 81

Anaphylaxis EMS EKG/ECG Shock 81

EMergucate

FEBRUARY 3, 2014

In this Bite-Sized Basic we take a look at the ED management of Anaphylaxis. In Beyond the Basics, we provide some tips for recognition of tricky cases. Read more

Anaphylaxis 40

Anaphylaxis 40

Don't Forget the Bubbles

JUNE 12, 2023

Max McKenzie was an otherwise healthy teenager but died from a hypoxic brain injury sustained during food anaphylaxis-related bronchospasm/asthma. To do that, he has created the AMAX4 algorithm – a best practice for algorithm forCritical Care Clinicians to use in Anaphylaxis and Asthma resuscitation.

Resuscitation 145

Resuscitation Anaphylaxis Best Practices Operations 145

EMDocs

SEPTEMBER 6, 2023

Differential Diagnosis for patient: Infectious endocarditis, CNS infection or abscess, necrotizing soft tissue infection, toxic shock, obstructive pyelonephritis, toxic ingestion, TTP, anaphylaxis with primarily hemodynamic effects, thromembolic phenomenon. Shock types: distributive, cardiogenic, obstructive, metabolic, hypovolemic, adrenal.

Anaphylaxis 67

Anaphylaxis Shock Sepsis Stroke 67

EMergucate

MAY 12, 2016

Definition Pathophysiology Causes Presentation Management Investigations Disposition Definition Multisystem severe hypersensitivity reaction of sudden onset (or rapidly progressive). Requires at … Continue reading →

Anaphylaxis 40

Anaphylaxis EMS 40

ALiEM

MARCH 5, 2024

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

Hyperthermia / Hypothermia 113

Hyperthermia / Hypothermia Anaphylaxis Administration Poisoning 113

Pediatric Emergency Playbook

SEPTEMBER 1, 2018

PEMplaybook.org

Anaphylaxis 40

Anaphylaxis 40

The Skeptics' Guide to EM

JANUARY 20, 2024

Aug 2023 * Population: Children 2 months to 10 years with and without febrile UTI exhibiting clinical improvement after 5 days of antimicrobials * Excluded: Second uropathogen (>104 CFU by catheterization or suprapubic aspiration, or >5×104 CFU by clean catch), hospitalization for bacteremia, admission to ICU, urine culture with pathogen (..)

Pediatrics 67

Pediatrics Anaphylaxis Emergency Department Outcomes 67

EMergucate

MAY 17, 2016

– Anaphylaxis – Atopic Eczema in Children – Gout – Kawasaki Disease – Osteoarthritis – Raynaud’s Phenomenon – Rheumatoid Arthritis … Continue reading →

Anaphylaxis 40

Anaphylaxis EMS 40

EMDocs

DECEMBER 19, 2023

Portuguese man of war, Cuboids i.e. box jellyfish, anemones) More envenomations than any other phylum Mechanism of injury: spring loaded venom gland called nematocyst that penetrates and injects prey Hydroids—Portuguese Man-o-war Presentation: “ String of pearls ”—linear erythematous eruption, local paresthesia, nausea, headache, chills, respiratory (..)

Poisoning 88

Poisoning Seizures Anaphylaxis Burns 88

EMDocs

MAY 25, 2023

Overall, nearly half of each group achieved the primary outcome: Levetiracetam 47% Fosphenytoin 45% Valproate 46% Amongst the patients not achieving the primary outcome: 144 required additional anti-convulsant medications 52 did not have improving responsiveness at 60 minutes Secondary outcomes were not significantly different amongst the groups, (..)

Seizures 61

Seizures Administration Outcomes Anaphylaxis 61

EMergucate

NOVEMBER 21, 2012

Causes of stridor foreign bodies infections – croup, epiglottitis, tracheitis; retropharyngeal or other deep neck space infection anaphylaxis / angioedema laryngeal or … Continue reading →

Anaphylaxis 40

Anaphylaxis EMS 40

The Skeptics' Guide to EM

JUNE 13, 2020

Low-value testing increases costs, ED length of stay and subjects patients to unnecessary ionizing radiation and risk of anaphylaxis from intravenous contrast dye (13-14). Moreover,

Anaphylaxis 52

Anaphylaxis Emergency Department Wellness EKG/ECG 52

Taming the SRU

MARCH 31, 2023

massive bee envenomation - R4 Capstone - Hydrocephalus - cpc: brain tumor - hyperviscosity syndromes - the language of being well & embracing fear in emergency medicine tamingthesru: Massive bee envenomation WITH dr. Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction (..)

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EMDocs

FEBRUARY 7, 2024

Anaphylaxis and angioedema have been reported, primarily with exendin-based therapies such as exenatide and lixisenatide. Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction.

Allergic Reactions 71

Allergic Reactions Anaphylaxis Dehydration Wellness 71

Pediatric Education

JUNE 18, 2023

Learning Point Potential problems of using PVP-I include : Irritant contact dermatitis which occurs more commonly in damaged skin, or skin that is compromised in some manner such as premature neonates Allergic reactions including anaphylaxis Thyroid dysfunction usually suppression – uncommon but more common in neonates especially premature neonates (..)

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

The Skeptics' Guide to EM

SEPTEMBER 16, 2017

Though this disorder is routinely treated with medications for anaphylaxis (i.e. Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department.

Anaphylaxis 52

Anaphylaxis Administration EMS Emergency Department 52

Taming the SRU

APRIL 17, 2023

Anaphylaxis, hypoglycemia, cardiotoxicity, and neurotoxicity can all be seen following exposure to poisonous plants. Thankfully, some of the more common and/or dangerous plant poisonings have been well-categorized, and are summarized below. General Management Manage airway, breathing, and circulation. Address life-threats. Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Taming the SRU

FEBRUARY 12, 2024

The patient is agitated on a backboard with C-collar in place.

Administration 71

Administration Fractures Anaphylaxis Emergency Department 71

RebelEM

JANUARY 23, 2023

antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Exclusion: Presented with acute anaphylaxis, and their acute anaphylactic symptoms had not yet been treated. J Allergy Clin Immunol. PMID: 14767453.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

Northwestern EM Blog

FEBRUARY 14, 2022

Source control timely antibiotics, rational fluid resuscitation, and ruling out other causes of vasopressor refractory shock to include anaphylaxis, hemorrhage, adrenal insufficiency, LVOT obstruction, and any other cause of cardiogenic shock need to be ruled out and addressed.

Shock 52

Shock Resuscitation Outcomes Fluid Resuscitation 52

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 Outcomes Infectious Diseases 52

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 mg inhaled over the first hour of therapy Followed by 0.5 mg may be nebulized Q4-6 hours.

Pediatrics 52

Pediatrics Anaphylaxis Hospitals Administration 52

Taming the SRU

MAY 1, 2023

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.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

Taming the SRU

SEPTEMBER 1, 2023

If able, can ask patients to watch the dog for developing signs of illness Immunoglobulin Inject around the site of the bite Remainder of injection in the deltoid (SAME side as bite) Vaccine Administer opposite side of immunoglobulin administration Total of 4-doses (0, 3, 7, and 14 days) If immunocompromised, will need a total of 5 doses Snakes Venomous (..)

Sepsis 84

Sepsis Administration Documentation/Coding Fractures 84