REBEL EM

DECEMBER 5, 2023

The overall incidence of biphasic reactions is unknown with rates quoted from < 0.5% This varied incidence can be due to inconsistent definitions or inclusion of mild reactions. Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs.

Epinephrine 81

Epinephrine Allergic Reaction Emergency Department Emergency Management 81

REBEL EM

JANUARY 23, 2023

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Article: Abella BS et al. Diphenhydramine versus nonsedating antihistamines for acute allergic reactions: a literature review. Zuberbier, Torsten, et al. Ledford, D.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

REBEL EM

AUGUST 3, 2023

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.

Allergic Reaction 52

Allergic Reaction OR ALS Emergency Department 52

FOAMfrat

FEBRUARY 18, 2024

These steroids are undoubtedly part of the cocktail we reach for in patients presenting with acute asthma, allergic reactions, 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).

Allergic Reaction 116

Allergic Reaction OR ALS ED 116

EMDocs

NOVEMBER 13, 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.

E-9-1-1 105

E-9-1-1 ALS Emergency Department ED 105

EMDocs

JANUARY 25, 2025

Specific Considerations: Neutropenic Fever: 15 Definition: Absolute Neutrophil Count <500 or <1000 with predicted nadir of <500 in 48 hours AND Fever 38.3C (101F) or a temperature of 38.0C (100.4F) sustained over a one-hour period Treatment: Inpatient: Cefepime 2g IV q8hrs OR Meropenem 1g IV q8hrs OR Piperacillin/Tazobactam 4.5g

E-9-1-1 96

E-9-1-1 EMS Allergic Reaction ED 96

This Podcast Will Kill You

JANUARY 7, 2025

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 allergic reaction 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.

E-9-1-1 52

E-9-1-1 Allergic Reaction PIER ALS 52