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EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality

Emergency Medicine Cases

The post EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality appeared first on Emergency Medicine Cases.

EMS 293
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Protocol Change

Peter Canning

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 allergic reactions anymore. Instead of giving D50 to hypoglycemic patients we switched to D10.

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Anaphylactic Shock

REBEL EM

Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal.

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EM@3AM: Traumatic Iritis

EMDocs

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 allergic reaction. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. McGraw Hill, 2020.

EMS 98
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Pediatric Balanitis and Balanoposthitis

Pediatric EM Morsels

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

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Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

REBEL EM

Do you pretreat the patient prior to CT scan or proceed without delay and risk an allergic reaction? Administer the pretreatment medications as this should prevent any severe allergic reaction. appeared first on REBEL EM - Emergency Medicine Blog. What Your Gut Says : The patient is stable and can wait 4 hours.

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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. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergic reaction. Understanding the cause of angioedema (mast cell vs. bradykinin mediated) helps dictate directed management.