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REBEL Core Cast 108.0 – Angioedema

REBEL EM

Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 PMID 25629740 Hassen GW et al. Zuraw et al.

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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

REBEL EM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Article: Abella BS et al. Ann Emerg Med 2020. Diphenhydramine versus nonsedating antihistamines for acute allergic reactions: a literature review. Allergy Asthma Proc.

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

REBEL EM

Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Annals of Emergency Medicine 2014 Jun;63(6):736-44 Lee S, Bellolio F, Hess E, Erwin P, Murad M, Campbell R. The Journal of Allergy and Clinical Immunology 2020 Apr;8(4):1230-1238.

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EM@3AM: Traumatic Iritis

EMDocs

A 32-year-old man presents to the emergency department with eye pain. Dilation of conjunctival vessels resulting in hyperemia and edema (A) is the underlying pathophysiology of conjunctivitis, which can be brought on by infection or allergic reaction. Overview of Eye Injuries in the Emergency Department.”

EMS 81
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The PALACE Trial: Direct Oral PCN Challenge in Patients with Low-Risk PCN Allergy?

REBEL EM

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.

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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. Angermann CE, Assmus B, Anker SD, et al. 8 The device itself is 2 x 2.5

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. 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.

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