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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.
Biphasic anaphylaxis: A review of the literature and implications for emergency management Corticosteroids in management of anaphylaxis; a systematic review of evidence
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergicreactions. Diphenhydramine versus nonsedating antihistamines for acute allergicreactions: a literature review. Multicenter study of emergencydepartment visits for insect sting allergies.
A 32-year-old man presents to the emergencydepartment 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 allergicreaction. Overview of Eye Injuries in the EmergencyDepartment.”
Incidence of clinically important biphasic reactions in emergencydepartment patients with allergicreactions 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.
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.
10 This procedure has well-described rare complications including infection, blood loss, allergicreaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. 8 The device itself is 2 x 2.5
What They Did: Parallel, 2-arm, noninferiority, open-label, multicenter, international randomized clinical trial Occurred in 6 specialized centers (3 in North America – US & Canada and 3 Outside of North America – Australia) Trial took place from June 2021 to December 2022 Used PEN-FAST to risk stratify patients.
The use of CTA (computed tomography angiography) in the emergencydepartment (ED) has increased dramatically in the past 20 years. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergencydepartment though requires an understanding of its specific uses and indications.
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 45-year-old outdoor enthusiast presents to the emergencydepartment with fever, headache, myalgias, and malaise. 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 Medications: 25.6%
Not an allergicreaction. Rashes will always find their way to your emergencydepartment! Has been known to occur following immunizations. Good to anticipate to avoid any additional cause of vaccine hesitancy. Sure, you may not be wrong calling it a viral exanthem, but you could be more right! Curr Opin Pediatr.
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