Podcast #226: Biphasic Anaphylaxis

Podcast #226: Biphasic Anaphylaxis

Author: Sam Killian, M.D.

Educational Pearls

  • Anaphylaxis is common in the ED. These patients are treated and then usually watched for 4-6 hours.
  • Biphasic happens in patients that have a complete resolution of their anaphylaxis for at least an hour, but then have a recurrence that requires pharmacologic intervention. Most of the time this happens 3-6 hours later, but can happen more than 10 hours later.
  • More commonly happens in patients that have a delayed presentation, a wide pulse pressure, need multiple doses of epi, require the use of a beta agonist, or are ages 6-9 years old.
  • Educate patients about the possibility of Biphasic anaphylaxis before discharge.

References: http://www.medscape.org/viewarticle/583328_7

Jaksot(1145)

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Authors: Don Stader, M.D. & Peter Pryor, M.D. Topic: What caused Dr. Pryor to leave emergency medicine and enter the realm of medical marijuana?

5 Heinä 201723min

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

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Author: Rachael Duncan, PharmD BCPS BCCCP Topic: Rachel explains the science behind one of the most common maladies thought to be induced by chronic cannabis use.

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Brewcast Part II: Pharmacology of Cannabis

Brewcast Part II: Pharmacology of Cannabis

Author: Brett Marlin, M.D. Topics: Brett explains the biochemical and physiological properties of cannabis.

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Brewcast Part I: The History of Cannabis in Medicine

Brewcast Part I: The History of Cannabis in Medicine

Author: Don Stader, M.D Topic: Don kicks things off with an overview of the history of marijuana and how it has made its way into medicine.

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Podcast #224: Troponin

Podcast #224: Troponin

Author: Sam Killian, M.D. Educational Pearls Not every troponin elevation is an MI. Trop elevates in about an hour in ACS and stays elevated for days. Non-MI conditions that cause elevated troponin: ...

1 Heinä 20174min

Podcast #223: Acyclovir Toxicity

Podcast #223: Acyclovir Toxicity

Author: Nick Hatch, M.D. Educational Pearls Acyclovir toxicity can uncommonly cause altered mental status, low blood glucose, hallucinations and myoclonic jerks. Toxicity often occurs in the setting ...

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Podcast #222: Wells Criteria for PE

Podcast #222: Wells Criteria for PE

Author: Michael Hunt, M.D. Educational Pearls Wells Criteria was initially designed to screen patients for further workup for PE. Aspects of the Wells Criteria include: signs and symptoms of DVT (3...

27 Kesä 20174min

Podcast #221: Walking Corpse Syndrome

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Podcast #221: Walking Corpse Syndrome Author: Erik Verzemnieks, M.D. Educational Pearls Walking Corpse Syndrome (aka Cotard Delusion) is a very rare psychiatric disorder that leads to the belief that...

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