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We’ll keep it short, while you keep that EM brain sharp. 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.
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.
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 ). A naphylaxis – Emergency Medicine Updates 2. Biphasic Anaphylactic Reactions. Read More: 1.
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergicreactions. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Allergy Asthma Proc. PMID: 17883909.
The suicide rate among emergency medical service (EMS) professionals rose a shocking 38 percent since 2009, according to a study published in the Western Journal of Emergency Medicine. As an emergency medical technician (EMT) or paramedic, you typically work a five-day rotation of 12-hour shifts (days or nights).
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
appeared first on REBEL EM - Emergency Medicine Blog. randomization) as per protocol (i.e. eligibility to screened ratio) Feasibility of recruitment defined as proportion of patients consenting to participate in the study protocol from eligible patients (i.e.
Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. The use of CTA (computed tomography angiography) in the emergencydepartment (ED) has increased dramatically in the past 20 years. Forman, H. Yaesoubi, R.
Well keep it short, while you keep that EM brain sharp. A 45-year-old outdoor enthusiast presents to the emergencydepartment with fever, headache, myalgias, and malaise. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. 10^9/L) Moderate (0.50.9
Not an allergicreaction. Rashes will always find their way to your emergencydepartment! The post Gianotti-Crosti Syndrome in Children appeared first on Pediatric EM Morsels. Has been known to occur following immunizations. Good to anticipate to avoid any additional cause of vaccine hesitancy. Curr Opin Pediatr.
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