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
Diagnosing SAH – CT/LP vs. CT/CTA. Fernanda Bellolio vs. Bill KnightPhoebe Adams, , The Talks DASsmacc, CT/CTA, CT/LP, debate, 0
Debate: diagnosing Subarachnoid Haemorrhage: CT/LP vs. CT/CTA. Fernanda Bellolio vs Bill Knight.
Neuroimaging Nibble Subtle SAHPhoebe Adams, , 2017, The Talks DASsmacc, Uncategorized, CT, Subtle Subarachnoid haemorrhage, 0
Neuro Imaging Nibble: Subtle Subarachnoid haemorrhage on CT by Jordan Bonomo
SonoBYTE: Ultrasound in Extreme EnvironmentsPhoebe Adams, , 2017, The Talks DASsmacc, adventure, Altitude, Antarctica, Cold, extreme, HAPE, ICE, Mountains, Ultrasound, wilderness, 0
South pole…North pole, hot…cold, on earth…in space, below the sea…on Mount Everest, alone and far, far away. Ultrasound will...
Helping Without HarmingPhoebe 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...
A MEETING OF THE TRIBES: INTER-PROFESSIONAL ISSUES IN CRITICAL CAREPhoebe 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...
Burnout, Blissful Ignorance and Addicted to SMACC – Iain Beardsell interrogates: Peter BrindleyPhoebe Adams, , The Talks DASsmacc, 0
After getting his chance to interrogate SMACC Superstars the people finally get their chance to get their own back...
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...
Did Nietzsche Know Anything About Critical Illness Survivors? by Margaret HerridgePhoebe Adams, , The Talks DASsmacc, Critical Illness Survivors, Nietzsche, 0
Traditionally, the focus of critical care has simply been on keeping patients alive. This is not enough, now we...