Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME) | Points & Pearls
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Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME)

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Points & Pearls Excerpt

  • Allergic reactions are a common cause of ED presentations, accounting for about 1% of U.S. visits annually.4,5
  • Up to 57% of anaphylactic reactions are not recognized, and in up to 80% of cases of anaphylaxis, patients were not given epinephrine.4,6
  • Many of the treatment recommendations considered to be standard of care in management of allergic reactions are based on weak or absent evidence.
  • The NIAID/FAAN clinical criteria have been found to have a 95% sensitivity for diagnosing anaphylaxis.9 (See Table 1.)
  • According to NIAID/FAAN criteria, if hypotension is present after exposure to a known allergen, involvement of a second organ system is not necessary to make the diagnosis of anaphylaxis.
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Publication Information
Authors

Andrea Zeke, MD; Amita Sudhir, MD

Peer Reviewed By

Ronna L. Campbell, MD, PhD; Jennifer Maccagnano, DO, FACEP, FACOEP

Publication Date

July 1, 2022

CME Expiration Date

July 1, 2025

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits.

Pub Med ID: 35737570

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CME Information

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