Dr. Smith's ECG Blog

MARCH 1, 2023

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.

Allergic Reaction 52

Allergic Reaction E-9-1-1 Epinephrine Coronary 52

REBEL EM

SEPTEMBER 28, 2023

STREAM-2: Half-Dose Tenecteplase or Primary Percutaneous Coronary Intervention in Older Patients With ST-Segment-Elevation Myocardial Infarction: A Randomized, Open-Label Trial. Based on this, the authors did a literature review and found that there is an increasing rate of ICH and major non-intracranial bleeding starting at ≈60 years of age.

STEMI 138

STEMI Allergic Reaction Coronary Ambulance 138

EMDocs

FEBRUARY 7, 2024

GLP-1 agonists are also associated with improved ejection fraction, coronary blood flow, and cardiac output while reducing the risk of cardiovascular events, infarction size, and all-cause mortality. 2023 observational study found increased risk of pancreatitis (adjusted HR of 9.09, 95% CI 1.25-66). 2023 Oct 5:e2319574.

Allergic Reaction 74

Allergic Reaction ALS CAD OR 74

EMDocs

NOVEMBER 13, 2023

An understanding of the risks involved including allergic reaction, radiation exposure, contrast extravasation, and contrast-associated nephropathy allows for a thorough risk-benefit analysis prior to ordering these studies. Emerg Radiol 2023. Neuroradiology 2023, 65 (1), 97-103. Stroke 2023, 54 (7), e314-e370.

E-9-1-1 86

E-9-1-1 ALS Emergency Department ED 86