Allergic Reactions and Anaphylaxis

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2y ago 50:51

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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

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#Fitness #Sam Ashoo MD #Sam Ashoo #Emergency Medicine #Science #Medicine #Podcasting Education #Emergency Department