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  • MAY 2022 VOLUME 19 ISSUE 5 Emergency Medicine Practice PEDIATRIC
    The addition of epinephrine to LA increases maximum safe dosing through reducing risk of inadvertent intravascular injection by 2 main mechanisms: (1) vasoconstriction and (2) hemodynamic marker (IIa, B) 10 Although there is common teaching to avoid epinephrine-containing LA infiltration to the “fingers, toes, penis, and nose” (areas with
  • Urgent Care Management of Patients With Angioedema
    The appropriate medications to effectively manage histamine-mediated angioedema, including epinephrine and antihistamines The special considerations and management approaches for pediatric patients Disposition decisions based on the type of angioedema, staging of the disease, and indications for observation
  • Treating Severe Allergy And Acute Anaphylaxis: Epinephrine Injection . . .
    Abstract Allergic reactions and anaphylaxis are potentially life-threatening processes that present with a variety of clinical symptoms Emergency clinicians must be able to recognize these presentations and make prompt clinical decisions regarding management of a patient’s airway, treatment options, and disposition of a patient who improves after initial presentation Furthermore, emergency
  • Pediatric Anaphylaxis - Anaphylactic Shock and Epinephrine Treatment . . .
    This issue reviews the criteria for diagnosing a pediatric patient with anaphylaxis and offers evidence-based recommendations for first- and second-line treatment, including the use of epinephrine, antihistamines, and corticosteroids Biphasic reactions and fatal anaphylaxis are also discussed
  • Management of Acute Asthma in the Pediatric Patient
    Nebulized racemic epinephrine used in the treatment of severe asthmatic exacerbation: a case report and literature review CJEM 2007;9 (4):304-308 (Review) Rodrigo GJ, Nannini LJ Comparison between nebulized adrenaline and beta 2 agonists for the treatment of acute asthma A meta-analysis of randomized trials Am J Emerg Med 2006;24 (2):217
  • EB Medicine Topics
    EB Medicine publishes Emergency Medicine Practice, EM Practice Guidelines Update, and Pediatric Emergency Medicine Practice - monthly CME journals designed to help physicians improve patient care through evidence-based medicine
  • Congenital Heart Disease In Pediatric Patients: Emergency Room . . .
    Abstract Congenital heart disease is the most common form of all congenital malformations and, despite advances in prenatal and newborn screening, it may present undiagnosed to the emergency department Signs and symptoms of congenital heart disease are variable and often nonspecific, making recognition and treatment challenging Patient presentations can range from life-threatening shock or
  • Airway Obstruction and Stridor in Pediatric Patients
    Much of the focus on newer research on stridor and upper airway obstruction has been on the treatment of croup with steroids and nebulized epinephrine Because many acute causes of stridor—especially those that are life-threatening—are rare in pediatric patients, many of the articles on these topics consist of case reports and case series
  • Pediatric Bronchiolitis: Assessment and Management in the ED
    When should I give the patient albuterol, nebulized epinephrine, or oxygen? Does the infant need steroids? You also wonder whether this patient is going to tire and require assisted ventilation or whether there are any other alternatives to intubation It is the middle of influenza season, and the waiting room is full of coughing, sniffling
  • Fixing Faces Painlessly: Facial Anesthesia In Emergency Medicine
    Epinephrine, histamine blocker, corticosteroid, oxygen, spirits of ammonia (smelling salt), no treatment necessary What position were you in at the time of the reaction? Supine, upright, partially reclined What is the name, address, and telephone number of the doctor who was treating you Do you know which agent was used? Was it injected





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