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Allergic Reactions and Anaphylaxis

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Manage episode 352779597 series 1358194
内容由EB Medicine提供。所有播客内容(包括剧集、图形和播客描述)均由 EB Medicine 或其播客平台合作伙伴直接上传和提供。如果您认为有人在未经您许可的情况下使用您的受版权保护的作品,您可以按照此处概述的流程进行操作https://zh.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集单集

Artwork
icon分享
 
Manage episode 352779597 series 1358194
内容由EB Medicine提供。所有播客内容(包括剧集、图形和播客描述)均由 EB Medicine 或其播客平台合作伙伴直接上传和提供。如果您认为有人在未经您许可的情况下使用您的受版权保护的作品,您可以按照此处概述的流程进行操作https://zh.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

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