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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. Features Urticaria and pruritis Rapid onset (1-2 hours) IgE Dependent (Type I Hypersensitivity) Reactions An allergen cross-links two or more IgE molecules on mast cells or basophils and initiates a signal cascade leading to degranulation.

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Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

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. ST depression will not always be present in 9/12 leads — as is seen in Figure-1.

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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. Patients were randomized in a 1:1 ratio. Diphenhydramine versus nonsedating antihistamines for acute allergic reactions: a literature review. 2005 Sep;116(3):643-9.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

1 One study found that CTA head and neck was ordered for 2.5% 8 The VAN (vision, aphasia, neglect) score ( Figure 1 ), first proposed by Teleb et al. 9 A later assessment of the VAN score in Beume et al. 8 The VAN (vision, aphasia, neglect) score ( Figure 1 ), first proposed by Teleb et al.

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EM@3AM: Leukopenia

EMDocs

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 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e. 10^9/L) Moderate (0.50.9

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Episode 162 Allergies Part 2: Shots, pills, & pens

This Podcast Will Kill You

Journal of Allergy and Clinical Immunology, 141(1), pp.1-9. World Allergy Organization Journal, 1, pp.S18-S26. ” Clinical & Experimental Allergy 29 (1999): 1-11. “111 years of allergen-immunotherapy: a long and successful history of the only available disease-modifier in allergic diseases.”

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Episode 161 Allergies Part 1: Pollens, nuts, & bugs

This Podcast Will Kill You

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. Allen, Judith E., Allergy and allergic diseases. Isolauri, E.,

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