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. Subendocardial Ischemia from another Cause ( ie, sustained tachycardia — sinus or from some other arrhythmia; shock/profound hypotension; GI bleeding; anemia; etc. ). The chest pain was described as sharp and radiated to both arms.

Anaphylaxis 52

Anaphylaxis Allergic Reactions EKG/ECG Shock 52

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 80

Anaphylaxis EMS EKG/ECG Shock 80

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. Learning points: Anatomic urinary obstruction with septic shock is deadly.

Anaphylaxis 69

Anaphylaxis Shock Sepsis Stroke 69

Pediatric Emergency Playbook

JUNE 1, 2016

Do we recognize shock early enough? World wide, shock is a leading cause of morbidity and mortality in children, mostly for failure to recognize or to treat adequately. So, what is shock? Simply put, shock is the inadequate delivery of oxygen to your tissues. How do we prioritize our interventions? Pericardial Effusion?

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Northwestern EM Blog

FEBRUARY 14, 2022

The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. were more likely to respond.

Shock 52

Shock Resuscitation Outcomes Fluid Resuscitation 52

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 84

Sepsis Administration Documentation/Coding Fractures 84