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The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.
In 2016, the state of Connecticut unified all EMS services with statewide protocols , which adopted a format of each protocol starting at the EMT level and then moving up to paramedic. We dont give solumedrol for allergicreactions anymore. Instead of giving D50 to hypoglycemic patients we switched to D10.
Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergicreaction (IgE-mediated disorder). If not treated rapidly can become fatal.
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 allergicreaction. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. McGraw Hill, 2020.
x The post Pediatric Balanitis and Balanoposthitis appeared first on Pediatric EM Morsels. Infectious balanoposthitis: management, clinical and laboratory features. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x 1365-4632.2009.03966.x
Do you pretreat the patient prior to CT scan or proceed without delay and risk an allergicreaction? Administer the pretreatment medications as this should prevent any severe allergicreaction. appeared first on REBEL EM - Emergency Medicine Blog. What Your Gut Says : The patient is stable and can wait 4 hours.
Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management.
appeared first on REBEL EM - Emergency Medicine Blog. Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% to 1.0mm Median amount of ST deviations declined from 15.0 Primary PCI: 78.4% Primary PCI: 13.3% RR 0.96; 95% CI 0.62 Primary PCI: 8.9
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.
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?:
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. In addition, we should all be working together to improve the situation for EMS professionals. What’s the solution? Let them do their jobs.
This information is crucial in avoiding allergicreactions, especially when administering emergency treatments. My name is Mike, and I am thrilled to be able to share my extensive EMS experience with you. Allergies : Allergies can significantly impact how a patient responds to medication or environmental factors.
EMS workers saving accident victims or tending to a patient experiencing a medical emergency. EMT courses, NYC or paramedic level certifications are held by the majority of EMS personnel. Thinking about the paramedic vs. EMT debate? It’s not just you. Both perform their work in a range of capacities and healthcare environments.
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.
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. References (1) Barkovich, E.
Well keep it short, while you keep that EM brain sharp. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e. Most common causes of leukopenia Infections: 36.4% Medications: 25.6%
Not an allergicreaction. 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. A Case-Control Study and a Postulation on the Intrinsic Host Factors in Gianotti-Crosti Syndrome.
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