Brain Teaser: Do you know which of the following patients meets the criteria for anaphylaxis?
June 24, 2019


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Test your knowledge and see how much you know about recognition and treatment of anaphylaxis in pediatric patients.

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From the author of the very first issue of Emergency Medicine Practice
June 24, 2019


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Stephen Colucciello, MD, FACEP
Professor of Emergency Medicine, University of North Carolina School of Medicine-Charlotte Campus,
Charlotte, NC

When we first published Emergency Medicine Practice 20 years ago, emergency clinicians were becoming skeptical of established dogma, which was often based on an “expert” who defined best practices; otherwise known as “eminence-based” medicine. For example, abdominal pain patients were never to get opioids, oral contrast should always be used for abdominal CT scans and the rectal exam was essential in the abdominal pain workup. read more

Managing pediatric patients in the ED
June 11, 2019


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During a busy shift in the ED, an adolescent girl is wheeled back from triage. Her right arm is resting on the arm of the wheel chair, and she is holding her head. Her eyes are downcast, and she appears weak. She saw her doctor the day before with complaints of fever, nausea without vomiting, and generalized muscle aches. Her pediatrician diagnosed her with a flu-like illness and recommended plenty of fluids and ibuprofen. read more

Clinical Pathway for Diagnosis of Anaphylaxis in Pediatric Patients
June 7, 2019


Posted by Andy Jagoda, MD in: Feature Update , 1 comment so far

Anaphylaxis is a time-sensitive, clinical diagnosis that is often misdiagnosed because the presenting signs and symptoms are similar to those of other disease processes. An allergic reaction is an overreaction of the immune system to a foreign substance (allergen). Anaphylaxis is a type of an allergic reaction that is an
acute, severe systemic hypersensitivity reaction that can rapidly lead to death. read more

Clinical Pathway for Patients Aged < 50 Years With Abdominal Pain
June 7, 2019


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The management of abdominal pain has changed significantly in the past 20 years, with increasing emphasis on identifying patients who are at high risk for occult pathology and worse outcomes. With abdominal pain still the most common chief complaint seen in the emergency department, a new look at the evolution of assessment strategies is in order. read more