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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients

The Skeptics' Guide to EM

There is a need to right size testing such that we do not miss clinically important PEs without exposing very low risk patients to risks of imaging (ionizing radiation, contrast, allergic reaction, cost, and misdiagnosis).

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Transfusion Reactions

Core EM

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3%

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Protocol Change

Peter Canning

We dont give solumedrol for allergic reactions anymore. Im sixty-six years old now and sometimes I must consult the protocols before I give a drug to make certain I am following the latest guidelines. Norepinephrine is now our go-to-vasopressor. I have to put my glasses on to read the protocols.

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Allergic Reactions and Anaphylaxis

EMT First Aid

Anaphylaxis and Allergic ReactionsAnaphylaxis is a severe life-threatening allergic reaction affecting the entire body. Anaphylaxis is becoming more common and you may know someone with a severe allergy.

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Anaphylactic Shock

REBEL EM

Anaphylactic Shock is an acute, life-threatening hypersensitivity disorder, with a generalized, rapidly evolving, multi-systemic allergic reaction (IgE-mediated disorder). If not treated rapidly can become fatal.

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So You Want to Become an EMT

Chicago EMT Training

Here's what you can expect Unit 1 CPR How to communicate with patients How to provide accurate documentation Vital Signs Unit 2 Airway Management Respiratory emergencies Cardiac emergencies Unit 3 Neurological emergencies like seizures, strokes, drugs, alcohol, and behavioral emergencies Immunological emergencies (allergic reactions) Abdominal Pain (..)

EMT 130
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Transfusion Reactions

Core EM

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3%