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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Doctors Don’t Rule the Resus by Ashley Liebig
Phoebe Adams, , The Talks DASsmacc, Resuscitation, 0
What if in just a few short hours we could take all that we have learned about resuscitation from...
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The Future of Out-Of-Hospital Cardiac Arrest
Phoebe Adams, , The Talks DASsmacc, Individualized Skilled Resuscitation Academy, 0
There is a huge variation in our outcomes for cardiac arrest patients. Measuring your results makes it possible for...
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SMACCForce: Prehospital Damage Control Resuscitation by Ann Weaver
Phoebe Adams, , SMACCForce 2017, The Talks DASsmacc, prehospital, Resusitation, 0
Prehospital Damage Control Resuscitation by Ann Weaver
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Guts or Gadgets?… Prayers or Protocol?… Training or Tricks? by MJ Slabbert
Phoebe Adams, , The Talks DASsmacc, decision making, emergency medicine, 0
Numbers people, give me the NUMBERS! We need CONCRETE data points and percentages…! Go, buy another “ping” machine to...
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Sepsis, Brazil, Women in ICU… Who Cares? Peter Brindley interrogates: Flavia Machado
Phoebe Adams, , 2017, The Talks DASsmacc, brazil, Sepsis, women, 0
A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social...
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Learning from Sim Part III: Critical Moments in the Intensive Care Unit by Jon Gatward
Phoebe Adams, , The Talks DASsmacc, intensive care unit, Simulation, 0
We have difficult conversations in critical care. We deal with sick and complex patients who may be at the...
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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...
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In Honour of the Clot (Consider the Lobster)
Phoebe Adams, , 2017, The Talks DASsmacc, Coagulation, Dinosaurs, Evolution, Fibrinogen, haemorrhage, Lobsters, thrombolysis, tPA, 0
A talk about David Foster Wallace, evolution, and what do when the thrombolysis bisque hits the fan.