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Steroids Steroids are a commonly used group of medications in the EmergencyDepartments. Asthma/COPD AllergicReactions Connective Tissue Flare Bells Palsy Gout ?Headache There are plenty of indications to use them, some remain controversial while others are widely accepted.
Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the EmergencyDepartment) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 Emergency Medicine Practice. EBMedicine.net.
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergicreactions. Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04
A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. What is the diagnosis, and how do we manage it from the ED? A 32-year-old man presents to the emergencydepartment with eye pain. 95% occupational injuries occur in males [1].
This is called a biphasic reaction. The risk of a biphasic reaction is what keeps patients in the ED while being observed for a set period of time. The overall incidence of biphasic reactions is unknown with rates quoted from < 0.5% up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ).
When you’re off the clock, focus on physical fitness, hobbies, family time, hanging out with friends — anything that takes you away from that ambulance and emergencydepartment (ED) and puts you in a better frame of mind. Drink more water and less soda or energy drinks. Moving the person could cause further harm or injury.
He has been taking increased doses of torsemide without improvement in his symptoms and was directed to the ED for inpatient therapy. Now, a remote outpatient pulmonary arterial pressure monitor and other heart failure detection devices (Table 1) are available that you may begin to see in your ED. 8 The device itself is 2 x 2.5
The use of CTA (computed tomography angiography) in the emergencydepartment (ED) has increased dramatically in the past 20 years. of all patients in the ED for over 800 different stated indications. 5, 6 Further, any use of imaging prolongs ED stays, which by extension increases ED wait times for other patients.
Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Case: A 57-year-old woman presents to the emergencydepartment (ED) with pleuritic posterior chest/back pain, shortness of breath, and left leg swelling.
A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. A 45-year-old outdoor enthusiast presents to the emergencydepartment with fever, headache, myalgias, and malaise. 10^9/L) Moderate (0.50.9
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