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
Emergency Department Management of Patients With Angioedema - EB Medicine About This Issue When a patient presents to the ED with complaints of nonpitting edema, difficult breathing, and or abdominal pain, angioedema may be at the top of your differential, but determining which of the 3 types of angioedema is presenting will be key to proper management In this issue, you will learn: The differences in presentation of histamine-mediated, bradykinin-mediated, and
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
Ultrasound-Guided Pediatric Nerve Blocks in the Emergency Department . . . This issue discusses materials, methods, and monitoring for pediatric patients undergoing nerve blocks in the emergency department Recognition and management of local anesthetic systemic toxicity syndrome and special considerations for pediatric patients are also reviewed
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
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
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 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