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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SMACCForce: Never too sick to be retrieved
Phoebe Adams, , SMACCForce 2017, The Talks DASsmacc, Retreival critical advenaced prehospital care ECMO iNO, 0
A short talk on retreival medicine. There are still patients out there where someone without insight determine that the...
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SMACCForce: Catharsis by Ashley Liebig
Phoebe Adams, , The Talks DASsmacc, mental health, smaccFORCE, 0
SMACCForce: Catharsis by Ashley Liebig
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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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Endocarditis will also f&*k you up
Phoebe Adams, , 2017, The Talks DASsmacc, ENDOCARDITIS BLOOD CULTURES, 0
Endocarditis has been on the back burner for a while now. It is a disease that is evolving as...
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The Everywoman’s Guide to Resuscitating the Post Cardiac Surgery Patient
Phoebe Adams, , The Talks DASsmacc, Cardiac Surgery, critical care, Resuscitation, sternotomy, 0
The arrested heart surgery patient is a unique beast in surgery and critical care. Dr Nikki Stamp will discuss...
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Neuro EM: When/how to reverse coagulopathies for ICH/TBI? (PATCH trial implications)
Phoebe Adams, , The Talks DASsmacc, coagulopathies, ICH, patch, tbi, 0
When/how to reverse coagulopathies for ICH/TBI? By Ronan O’Leary
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Prehospital Care: The Future is Now
Phoebe Adams, , 2017, The Talks DASsmacc, future, medtech, prehospital, Resuscitation, Trauma, 0
Trauma is an epidemic. It is globally the biggest killer in young people.This talk will outline the current deficits...
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Resuscitation for the Resuscitationist
Phoebe Adams, , The Talks DASsmacc, Resuscitation, 0
Panelist participation in the “Resuscitation for the Resuscitationist” panel session.