emDOCs.net Emergency Medicine (EM) Podcast
PECARN STELAR Podcast - Episode 1: Anaphylaxis
Apr 16, 2024
Dr. Ilene Claudius and Dr. Julie Brown discuss anaphylaxis in children, focusing on diagnosing symptoms and challenges, epinephrine administration, supportive interventions, antihistamines and steroids usage, and optimal management and discharge criteria for patients.
20:07
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Quick takeaways
- Epinephrine is the primary treatment for anaphylaxis, while antihistamines serve as comfort measures.
- Diagnostic criteria for anaphylaxis focus on symptoms and precipitating events, with potential advancements in alternative epinephrine delivery forms.
Deep dives
Key Points on Anaphylaxis Definition and Criteria
Anaphylaxis requires exposure and re-exposure to a trigger, leading to a rapid inflammatory response. The diagnostic criteria for anaphylaxis focus on a constellation of symptoms and the precipitating event. Criteria like the NIAD/FAN or SAMPSAN criteria help identify likely anaphylactic events, emphasizing skin involvement, respiratory compromise, reduced blood pressure, or persistent GI symptoms.
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