Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME) | Podcast
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Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME)

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Date: 01/17/2023 | Length: 50:51

Show Notes

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

 

 

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the July 2022 issue of Emergency Medicine Practice: Management of Allergic Reactions and Anaphylaxis in the Emergency Department (Pharmacology CME)


About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

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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 Information

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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