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Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al.
Paper: Van de Werf, F et al. References: Van de Werf, F et al. PMID: 37439219 Armstrong P et al. 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. Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4%
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergicreactions. Article: Abella BS et al. Diphenhydramine versus nonsedating antihistamines for acute allergicreactions: a literature review. Zuberbier, Torsten, et al. Ledford, D.
Hypersensitivity/dermatologic: GLP-1 agonists are synthetic peptides; may lead to antibody formation and allergicreaction/injection site reaction. Reactions are usually minor: transient warmth, pruritis at injection site that resolves. Shetty R, Basheer FT, Poojari PG, et al. Front Endocrinol (Lausanne).
Incidence of clinically important biphasic reactions in emergency department patients with allergicreactions or anaphylaxis. Time of Onset and Predictors of Biphasic Anaphylactic Reactions: A Systematic Review and Meta-analysis. The American Journal of Emergency Medicine 2018 Aug;36(8):1480-1485 Shaker M, et al.
Dilation of conjunctival vessels resulting in hyperemia and edema (A) is the underlying pathophysiology of conjunctivitis, which can be brought on by infection or allergicreaction. Lu, Kevin, et al. Close follow-up within 48 hours with an ophthalmologist is appropriate for ongoing monitoring and care. Traumatic Iritis.”
Bush SP, Ruha AM, Seifert SA, et al. link] Kanaan NC, Ray J, Stewart M, et al. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms. 9 This effect may be especially prominent in the setting of rattlesnake envenomation, where coagulopathic effects are more prominent. Published online November 2020. Accessed May 7, 2022. BMC Emerg Med.
These steroids are undoubtedly part of the cocktail we reach for in patients presenting with acute asthma, allergicreactions, or anaphylaxis - and traditional clinical logic has taught us these drugs work to reduce inflammation in the airways and reduce bronchial mucus production. Namely, Solumedrol and Dexamethasone (Decadron).
10 This procedure has well-described rare complications including infection, blood loss, allergicreaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. Angermann CE, Assmus B, Anker SD, et al. 8 The device itself is 2 x 2.5
Paper: Copaescu AM et al. References: Copaescu AM et al. This practice is both resource and time intensive thus limiting the number of people who can actually have their penicillin allergy removed from their chart. A rapid, safe approach to confirming or refuting allergies is needed. JAMA Intern Med 2023. JAMA Intern Med 2023.
2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. In a study of 17,903 CTAs ordered in the ED, Tu et al. 8 The data in Mayer et al. 9 A later assessment of the VAN score in Beume et al.
Reference: Bannelier et al. There is a need to right size testing such that we do not miss clinically important PEs without exposing very low risk patients to risks of imaging (ionizing radiation, contrast, allergicreaction, cost, and misdiagnosis). Reference: Bannelier et al.
link] Laxminarayana SLK, Jayaram S, Swaminathan SM et al. doi:10.1016/B978-0-323-69578-7.00001-6 Mart, Gulay et al. Answer : Leukopenia Overview Leukopenia is defined as total WBC count < 4000/mm 3 Neutropenia is the most common subset of leukopenia and is defined on absolute neutrophil count: 1 Mild (1.01.5 Medications: 25.6%
Cataldi, Mauro, et al. Gutermuth, Jan, et al. “111 years of allergen-immunotherapy: a long and successful history of the only available disease-modifier in allergic diseases.” FDA approves first medication to help reduce allergicreactions to multiple foods after accidental exposure. 2015): 350-351.
Sometimes it seems like the world is out to get us: bees in our garden, pollen in the air, nuts in our brownies, any number of other things that could trigger an allergicreaction ranging from itchy eyes and a runny nose all the way to anaphylaxis. Hurley, Sadhbh, et al. Lv, Jia-jie, et al. Marichal, Thomas, et al.
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