Anaphylaxis is a relatively common and potentially lethal emergency. Current definitions highlight the presence of allergic and allergic-like reactions with end organ damage. Diagnosis can be difficult, but present guidelines (FAAN) focus on sensitivity above specificity. The main aspects of management are early recognition and early epinephrine. First line treatment is intramuscular epinephrine, fluids and positioning. In refractory cases, increasing dose of epinephrine, norepinephrine, vasopressin, glucagon, methilene blue and ECMO are considerations. Patients with airway compromise require advanced management. Disposition depends on severity and access to follow-up. An epinephrine auto-injector is necessary. Biphasic reactions are rare but real, with unclear incidence.
16 Bits of Anaphylaxis by Daniel Cabrera
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A MEETING OF THE TRIBES: INTER-PROFESSIONAL ISSUES IN CRITICAL CARE
Phoebe Adams, , The Talks DASsmacc, critical care, medical, nursing, physiotherapy, social work, 0
“Meeting of the Tribes” brings together clinicians from a broad range of health professions–including medicine, nursing, social work, and...
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Helping Without Harming
Phoebe Adams, , 2017, The Talks DASsmacc, communication in critical care, Debriefing, feedback, interprofessional education, negotiation, performance gaps, 0
You’ve been resuscitating the patient for hours and finally caught up with volume. You come back on your next...
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Diagnosing a wake-up stroke (look to the future) – imaging, implications on treatment
Phoebe Adams, , 2017, The Talks DASsmacc, DasSMACC, wake up stroke, 0
Diagnosing a wake-up stroke by Fernanda Bellolio
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Learning from Sim Part II: Critical Moments in the Emergency Department by Chris Hicks
Phoebe Adams, , The Talks DASsmacc, emergency, emotion, Simulation, 0
Emotion has a profound effect on decision-making. As scientists and rational beings, we like to believe that we can...
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CRITICAL ILLNESS… HEROES, VICTIMS, VICTORS, SURVIVORS?
Phoebe Adams, , The Talks DASsmacc, 0
Chair: Liz Crowe Panel: Carol Hodgson, Margaret Herridge, James Piercy, Martin Bromiley, Rob Rogers, David Menon Critcal care is...
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PUBLISHING AND THE FUTURE OF CRITICAL CARE KNOWLEDGE DISSEMINATION REDUX
Phoebe Adams, , 2017, The Talks DASsmacc, 0
Moderate panel discussion on FOAM Open Access Medical Publishing Data sharing
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Diagnosing Meningitis – CSF lactate, procalcitonin and fungitell, when to pull the trigger on steroids/abx?
Phoebe Adams, , 2017, The Talks DASsmacc, antibiotics, bacteria, brain, CSF, CT, emergency department, fungitell, lactate, LP, Meningitis, Neuro EM, procalcitonin, steroids, 0
The golden hour of meningitis involves rapid identification, workup, and treatment. In most cases, the diagnosis of meningitis is...
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SMACCForce: Catharsis by Ashley Liebig
Phoebe Adams, , The Talks DASsmacc, mental health, smaccFORCE, 0
SMACCForce: Catharsis by Ashley Liebig