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  • 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
  • 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
  • Treating Severe Allergy And Acute Anaphylaxis: Epinephrine Injection . . .
    Review of clinical criteria to diagnose anaphylaxis, and treatment guidelines involving the intramuscular administration and dosing of epinephrine, both in and out of the hospital setting
  • 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
  • Nontraumatic Cardiac Arrest: Ventricular Tachycardia, Ventricular . . .
    A comparison of repeated high doses and repeated standard doses of epinephrine for cardiac arrest outside the hospital European Epinephrine Study Group N Engl J Med 1998;339 (22):1595- 1601 (Randomized; 3327 patients) Brown CG, Martin DR, Pepe PE, et al A comparison of standard-dose and high-dose epinephrine in cardiac arrest outside the
  • Managing Allergic Reactions and Anaphylaxis in the Emergency Department
    This issue reviews the current evidence on managing allergy and anaphylaxis with epinephrine, and reviews the evidence on corticosteroids, antihistamines, and other adjunctive therapies Guidelines are reviewed to offer assistance with grading of symptoms, which can help determine treatment and disposition
  • 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
  • Emergency Department Management of Patients With Angioedema - EB Medicine
    Angioedema can cause life-threatening airway compromise, and determining the cause is essential to timely management
  • Emergency Department Management of Acute Asthma Exacerbations - EB Medicine
    The latest information on additional drug therapies for exacerbations, including magnesium sulfate, epinephrine, terbutaline, and ketamine, as well as novel biologics Trialing noninvasive positive-pressure ventilation, and strategies for intubation in severe cases
  • Push Hard And Push Fast: The Who, How, And Why Of Pediatric Advanced . . .
    The endotracheal epinephrine dose was 0 1 mL kg at a concentration of 1:1000, although multiple doses were needed Intravenous access was established, and she was safely transported to a pediatric tertiary care center The second patient, the little boy with the history of congenital heart disease, did indeed have ventricular fibrillation





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