When your first food allergy reaction takes place in the air
Can you imagine flying home from a family vacation and having a first-time anaphylactic reaction in the air? Did you know that airlines are not required to stock their planes with easy-to-use auto-injectors that any adult or child could operate?
Francine’s family was flying back home from vacation on American Airlines. Her 10-year-old son, who had no history of food allergy, ate the warm mixed nuts they served and immediately had stomach pain, chest pain, and stridor when breathing. Francine told me that, “If not for the nurse who administered the Epi-Pen and cared for him the entire trip and passengers who gave u...
Source: Kevin, M.D. - Medical Weblog - March 16, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/lianne-mandelbaum" rel="tag" > Lianne Mandelbaum < /a > Tags: Patient Allergies & Immunology Emergency Medicine Source Type: blogs
Tropical Travel Trouble 002 Rabies
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 002
A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook…
She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies.
Should she be worried? Should you be worried?
Questions
Q1. What other questions should yo...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs
Answer to Case 483
Answer: Probable anisakid (Anisakissp.,Pseudoterranovasp., orContracaeceumsp.)There was a lot of great discussion on this case! While we can ' t definitively rule out a migratory immatureAscaris lumbricoides(crawling up from its usual intestinal location),the size of the worm, morphology, and patient history are most consistent with this being an anisakid larva. Anisakiasis occurs in humans following consumption of undercooked fish or seafood containing coiled anisakid larvae. The larvae cannot mature in humans but still have the potential to cause significant problems for their unintended human host. In the ' best case sc...
Source: Creepy Dreadful Wonderful Parasites - February 26, 2018 Category: Parasitology Source Type: blogs
LITFL Review 315
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 315th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Rob Macsweeney of Critical Care Reviews posts the 2 hour livestream of the ADRENAL Trial as ...
Source: Life in the Fast Lane - January 21, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Another option for life-threatening allergic reactions
For some people, many foods, medicines, and bee stings mean life-threatening allergic reactions that require immediate treatment with injectable epinephrine. For many people, January means the start of a new drug deductible to be met. In June 2017 the FDA approved a new form of emergency epinephrine called Symjepi, which may be good news for people who must be prepared in the event of a life-threatening allergic reaction.
The seriousness of a severe allergic reaction
Severe allergic reactions affect anywhere from 5% to 70% of persons, depending on age and prior exposure. Anaphylactic or “type 1” (immediate hypersensiti...
Source: Harvard Health Blog - January 8, 2018 Category: Consumer Health News Authors: Susan Farrell, MD Tags: Allergies Health Source Type: blogs
Funtabulously Frivolous Friday Five 221
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 220.
Question 1
The Adverts, a UK punk band in the 1970s wrote the song “Looking through Gary Gilmore’s eyes”. Who is Gary Gilmore and why would two people be looking through his eyes?
+ Reveal the Funtabulous Answer
expand(document.getElementById('...
Source: Life in the Fast Lane - January 5, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five aspergillum Ayahuasca basket case cornea transplant garlic gary gilmore lone star tick meat allergy otomycosis paul simon shaman swimmers ear Source Type: blogs
10 signs that a child ’s stomachache could be something serious
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Stomachaches are incredibly common in children. Most of the time they are nothing serious at all. Most are just from a mild stomach bug, or some constipation, or hunger — or are a child’s way of getting out of something they don’t want to do. But a stomachache can sometimes be a sign of a more serious problem.
A stomachache worries doctors when…
1. The pain is severe. By severe, I mean that the child cannot be distracted from it, and is crying or otherwise showing that they are extremely uncomfortable. Any severe pain warrants a trip to the doctor, whether it’s unrelenting or it c...
Source: Harvard Health Blog - November 21, 2017 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Digestive Disorders Parenting Source Type: blogs
The Top 8 Technologies Combating Food Allergy
Every three minutes, a food allergy reaction sends someone to the emergency room in the US. Not only the number of people suffering from food allergies but also the complexity and severity of conditions are rising globally. Food scanners or portable devices could tell you the exact ingredients of the food on your plate; while apps and wearables help you deal with the effects of allergens. Here, I listed the best technologies combating food allergy!
Food allergy on the rise
Food allergy has been referred to as the second wave of the allergy epidemic, asthma being the first. Researchers estimate that up to 15 million Ameri...
Source: The Medical Futurist - November 2, 2017 Category: Information Technology Authors: nora Tags: Future of Food Portable Diagnostics applications apps digital digital health food allergy food scanner GC1 Personalized medicine technology wearables Source Type: blogs
LITFL Review 301
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 301st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
How can we individualize learning for our learners and for ourselves? The Curbsiders talk to ...
Source: Life in the Fast Lane - October 8, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
Food allergies are a public health crisis we can no longer ignore
Nearly every American is touched by serious chronic illness, either as a patient or as a caregiver. The federal government recognizes the far-reaching effects of such conditions, and agencies like the National Institutes of Health and Centers for Disease Control and Prevention conduct surveillance of these diseases. Such research allows us to better understand the burden of different diseases, develop new treatments and prevention practices, and protect the public’s health. And it is why surveillance programs exist for virtually every major disease and illness impacting the American public.
Despite this fact, there is no...
Source: Kevin, M.D. - Medical Weblog - September 19, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jennifer-j-bute" rel="tag" > Jennifer J. Bute, PhD < /a > Tags: Conditions Allergies & Immunology Pediatrics Primary Care Source Type: blogs
ICE blog and the KeyLIME podcast
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
As a FOAM-embracing Clinician Educator it is heartening to see the rise of high quality FOAM resources designed to help educators, not just those they educate. Of course, we are all students really, but I think this is further evidence that FOAM is really coming of age. A prime example is the ICE blog.
I have been meaning to shine the LITFL spotlight onto the ICE blog for sometime now. This is the blog of the International Clinician Educators Network and is overseen by ren...
Source: Life in the Fast Lane - August 14, 2017 Category: Emergency Medicine Authors: Chris Nickson Tags: Education clinician educator ICE blog International Clinician Educator Network Jason Frank Jonathan Sherbino KeyLIME podcast Linda Snell medical education Source Type: blogs
Research and Reviews in the Fastlane 189
This study compares emergency medical care statistics for an urban metropolitan community in Oregon before and after the implementation of the Affordable Care Act in the USA. With the incidence of cardiac arrest approximately 17 percent lower post ACA than before it certainly brings home the potential implications of repealing and replacing the ACA.
Recommended by: Virginia Newcombe
Emergency Medicine
van der Hulle T, et al; YEARS study group. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet 2017. PMID: 28549662
The largest demonstratio...
Source: Life in the Fast Lane - July 12, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Emergency Medicine R&R in the FASTLANE Resuscitation EBM Education recommendations research and reviews Source Type: blogs
Over Reactions
I have no idea why my body has changed so much but it has. And I tend to blame chemo for the changes. Since chemo, I have reactions to tons of things. The list of things I am allergic to has grown immensely. I am even allergic to Benadryl....I will say its been a very long time since I was stung by a bee. That is approximately 1986 when I stepped on a bee that had come in through the wall of our kitchen in an apartment. I remember it as being extremely painful because there is no flab on your toe to absorb the venom. I ended up calling the pharmacist to ask for options.... But I also remember it going away mostly by the ne...
Source: Caroline's Breast Cancer Blog - July 10, 2017 Category: Cancer & Oncology Tags: allergens annoyance reactions Source Type: blogs
A Buggy Case
A 35-year-old man with a history of asthma presented with an exposure after spraying his garage with an insecticide he bought at the hardware store. Shortly after spraying the insecticide, he noticed eye itchiness, tingling, pruritus over his arms and legs, and shortness of breath. His blood pressure was 130/85 mm Hg, heart rate 70 bpm, respiratory rate 14 bpm, temperature 98.7°F, and SpO2 96% on room air.He was alert and anxious, his skin was warm with mild erythema, and he had urticaria over his forearms and ankles. His lung exam revealed diffuse wheezing bilaterally. His eyes were watery, and his pupils were 4 mm...
Source: The Tox Cave - July 3, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
