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Allergic Reactions and Anaphylaxis

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Manage episode 352779597 series 1358194
Content provided by EB Medicine. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by EB Medicine or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Announcements:

The interactive Clinical Pathways have launched and they are available for free!

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department.

Intro

  • The number of ED visits and hospitalizations
  • Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

Criteria

  • 2006 Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network (NIAID/FAAN)
  • WAO revised the criteria in 2020
  • Delphi group and Brown et al

Pathophysiology

Epidemiology

  • Most common causes in children and adults
  • More than half of deaths from anaphylaxis occur within the first hour of symptom onset

Prehospital Care

  • Give epi, H1 blockers
  • Mainstay = recognition

ED Care

  • Airway
  • Epinephrine
  • Decontamination
  • H1 and H2 blockers
  • Corticosteroids
  • Biphasic reactions
  • Glucagon

Special Cases

  • Alpha-gal
  • Scombroid
  • Kounis syndrome
  continue reading

134 episodes

Artwork
iconShare
 
Manage episode 352779597 series 1358194
Content provided by EB Medicine. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by EB Medicine or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Announcements:

The interactive Clinical Pathways have launched and they are available for free!

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the July 2022 Emergency Medicine Practice article on the Management of Allergic Reactions and Anaphylaxis in the Emergency Department.

Intro

  • The number of ED visits and hospitalizations
  • Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

Criteria

  • 2006 Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network (NIAID/FAAN)
  • WAO revised the criteria in 2020
  • Delphi group and Brown et al

Pathophysiology

Epidemiology

  • Most common causes in children and adults
  • More than half of deaths from anaphylaxis occur within the first hour of symptom onset

Prehospital Care

  • Give epi, H1 blockers
  • Mainstay = recognition

ED Care

  • Airway
  • Epinephrine
  • Decontamination
  • H1 and H2 blockers
  • Corticosteroids
  • Biphasic reactions
  • Glucagon

Special Cases

  • Alpha-gal
  • Scombroid
  • Kounis syndrome
  continue reading

134 episodes

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