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Outcomes and Factors Associated With Prehospital Treatment of Pediatric Anaphylaxis
Conclusions Prehospital treatment with EPI remains low, and barriers to optimal treatment are more pronounced in children with public insurance. Prehospital treatment with EPI was associated with decreased morbidity including hospitalization and intensive care unit admission.
Source: Pediatric Emergency Care - January 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Allergic and Immunologic Emergencies
The practice of emergency medicine requires rapid diagnosis and management in order to stabilize patients and save lives. Anaphylaxis is a pathologic condition that emergency medicine is best suited to treat. The World Allergy Organization has described anaphylaxis as a “serious systemic hypersensitivity reaction that is usually rapid in onset and may cause death.” Because of the importance of correctly identifying patients with anaphylaxis and delivering appropriate treatments, this issue of Emergency Medicine Clinics of North America dives into the topic of a llergic and immunologic complaints.
Source: Emergency Medicine Clinics of North America - November 13, 2021 Category: Emergency Medicine Authors: R. Gentry Wilkerson, Salvador Suau Tags: Preface Source Type: research

Anaphylaxis:
After treating the acute anaphylactic reaction, the clinician ’s next task is to prevent a recurrence. The patient should be observed in the ED. How long this observation period should last depends on their clinical course, risk factors, and social support. All patients should be discharged with a prescription for 2 epinephrine autoinjectors and counseled on appropriate use. The patient should also receive education on the signs and symptoms of anaphylaxis and avoiding triggers. The patient should follow-up with an allergy specialist who can confirm triggers and provide immunotherapy as indicated.
Source: Emergency Medicine Clinics of North America - November 2, 2021 Category: Emergency Medicine Authors: Nicholas P. Gorham Source Type: research

Overview of Allergy and Anaphylaxis
Allergic reactions and anaphylaxis occur on a severity continuum from mild and self-limited to potentially life-threatening or fatal reactions. Anaphylaxis is typically a multiorgan phenomenon involving a broad range of effector cells and mediators. Emergency department visits for anaphylaxis are increasing, especially among children. There is a broad differential diagnosis for anaphylaxis, and the diagnosis of anaphylaxis can be aided by the use of the National Institutes of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network clinical diagnostic criteria. Risk factors for severe anaphylaxis include older a...
Source: Emergency Medicine Clinics of North America - October 29, 2021 Category: Emergency Medicine Authors: Timothy E. Dribin, Megan S. Motosue, Ronna L. Campbell Source Type: research

Anaphylaxis Case After mRNA Vaccination Traced to Polyethylene Glycol Allergy Anaphylaxis Case After mRNA Vaccination Traced to Polyethylene Glycol Allergy
An undiagnosed polyethylene glycol allergy was at the root of at least one anaphylaxis case associated with an mRNA-based COVID-19 vaccine, a UK report suggests.Reuters Health Information
Source: Medscape Emergency Medicine Headlines - April 13, 2021 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Missed Diagnosis of Anaphylaxis in Patients With Pediatric Urticaria in the Emergency Department
Conclusions Of all pediatric urticaria patients, 3.5% of patients were not registered as anaphylaxis although they had anaphylaxis symptoms. Missed diagnosis of anaphylaxis in pediatric urticaria patients at ED was associated with a history of past food allergy, milk, egg, and seafood as causes of allergy, treated with fluid administration, steroid, and epinephrine.
Source: Pediatric Emergency Care - April 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Hospitalizations for Food Anaphylaxis Triple, but Deaths Down Hospitalizations for Food Anaphylaxis Triple, but Deaths Down
Cow ' s milk is the leading cause of fatal anaphylaxis among children, new data show.Medscape Medical News
Source: Medscape Emergency Medicine Headlines - February 18, 2021 Category: Emergency Medicine Tags: Allergy & Clinical Immunology News Source Type: news

Anaphylaxis Cases After COVID Vaccine Rising But Still Rare: CDC Anaphylaxis Cases After COVID Vaccine Rising But Still Rare: CDC
With 29 confirmed cases of anaphylaxis following COVID-19 vaccine administration, clinicians should be prepared to treat this side effect, CDC ' s Messonnier said. But cases remain rare.Medscape Medical News
Source: Medscape Emergency Medicine Headlines - January 6, 2021 Category: Emergency Medicine Tags: Allergy & Clinical Immunology News Source Type: news

Health Officials Track Safety as COVID-19 Vaccines Roll Out
By LAURAN NEERGAARD AP Medical Writer As COVID-19 vaccinations roll out to more and more people, health authorities are keeping close watch for any unexpected side effects. On Tuesday, a health worker in Alaska suffered a severe allergic reaction after receiving the Pfizer COVID-19 vaccine. She is in the hospital for another night under observation while another worker, vaccinated Wednesday, has recovered. Doctors already knew to be on the lookout after Britain reported two similar cases last week. Related: Emergency Considerations in COVID-19 Vaccine Administration In the U.S., vaccine recipients are supposed ...
Source: JEMS Patient Care - December 17, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: AP News Coronavirus Source Type: news

Emergency Considerations in COVID-19 Vaccine Administration
Conclusion The joint response of science and medicine to develop safe and effective COVID-19 vaccines has been brisk and productive. Distribution efforts will now be the next step in limiting the breadth of this pandemic. EMS agencies will play a key role in some areas in the administration of vaccinations for their communities. The authors suggest that to better clarify the side effects of the COVID-19 vaccines, EMS systems must maintain a log of the type and incidence of adverse events following vaccine administration, EMS responses to the adverse events, as well as those patients’ outcomes from this management. ...
Source: JEMS Patient Care - December 16, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Coronavirus Exclusives EMS EMT Paramedic Source Type: news

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