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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The Clinician Advocate: How Evidence and Anecdote Produce Change
Phoebe Adams, , 2017, The Talks DASsmacc, Advocate, Alcohol, clinician, Emergency Departments, public health, 0
Emergency departments are at the forefront of dealing with the harmful effects of alcohol consumption. ED alcohol-related presentation data...
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Emergency Musical Interlude
Phoebe Adams, , 2017, The Talks DASsmacc, emergency medicine, music, 0
Humorous musical interpretation of life as a doctor, featuring singing at a piano.
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SMACCForce: Code crimson-marginal gains to save a life by Wolfgang Voelckel
Phoebe Adams, , The Talks DASsmacc, ASSESSMENT, damage control, Fluid resuscitation, haemorrhagic shock, haemostatic resuscitation, Hypotensive resuscitation, physiologic response, Trauma, vasopressor drugs, 0
Exsanguination and brain injury are the leading causes of death after major trauma. During the last decades, significant progress...
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Management of Status Epilepticus – What SHOULD we be giving? by Brandon Foreman
Phoebe Adams, , The Talks DASsmacc, status epilepticus, 0
Management of Status Epilepticus – What SHOULD we be giving? By Brandon Foreman
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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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Voices in my Head
Phoebe Adams, , 2017, The Talks DASsmacc, Failure, medicine, mindfulness, performance, Resuscitation, Self-compassion, 0
We are all imperfect, this is the human condition. Pursuing a career in resuscitation means that some of our...
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Did Nietzsche Know Anything About Critical Illness Survivors? by Margaret Herridge
Phoebe 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...
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Two New York Docs in the Resus Room with Reuben Strayer & Scott Weingart
Phoebe Adams, , The Talks DASsmacc, New York City, Resuscitation, 0
What is New York City style resuscitation? Reuben Strayer and Scott Weingart honed their chops in public hospitals in...