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Transfusion Reactions

Core EM

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3%

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Transfusion Reactions

Core EM

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3%

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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

REBEL EM

The overall incidence of biphasic reactions is unknown with rates quoted from < 0.5% up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). This varied incidence can be due to inconsistent definitions or inclusion of mild reactions. Which patients are at risk for experiencing biphasic reactions?

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Hypersensitivity reaction to a GLP-1 agonist, type 1 diabetes mellitus, and pregnancy. Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergic reaction/injection site reaction. Reactions are usually minor: transient warmth, pruritis at injection site that resolves.

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What the Emergency Clinician Must Know about Remote Monitors in Heart Failure

EMDocs

10 This procedure has well-described rare complications including infection, blood loss, allergic reaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. Optivol TM , measures thoracic impedance through an ICD or CRT-D device.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

He also reports associated photophobia, nausea, and a single episode of vomiting in the lobby. He denies a history of similar headaches in the past. He denies any medical history, significant family history, or recreational drug use. Vital signs: Temperature 99.5F, HR 98 bpm, BP 162/86 mmHg, RR 14 per minute, oxygen saturation 99% on room air.

E-9-1-1 87