Remove Allergic Reaction Remove ALS Remove EMS
article thumbnail

EM@3AM: Traumatic Iritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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. Lu, Kevin, et al. Practical Pearls for Managing Anterior Uveitis.” Traumatic Iritis.”

EMS 80
article thumbnail

REBEL Core Cast 108.0 – Angioedema

REBEL EM

Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Read More EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC ERCast: Angioedema References: Baş M et al.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment.

article thumbnail

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

REBEL EM

At the time of discharge, thorough education and the availability of IM epinephrine for the patient is paramount to allow for prompt treatment of an unlikely biphasic reaction ( Pourmand 2018 , Shaker 2020 ). The Skeptics Guide to EM Should I Stay or Should I Go Related Topics: Are steroids and antihistamines really effective for anaphylaxis?:

article thumbnail

STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

REBEL EM

Paper: Van de Werf, F et al. References: Van de Werf, F et al. PMID: 37439219 Armstrong P et al. appeared first on REBEL EM - Emergency Medicine Blog. 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
article thumbnail

ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

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.

article thumbnail

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. appeared first on REBEL EM - Emergency Medicine Blog. 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. JAMA Intern Med 2023. randomization) as per protocol (i.e.