Audio is streamed directly from the publisher (traffic.libsyn.com) as published in their RSS feed. Play Podcasts does not host this file. Rights-holders can request removal through the copyright & takedown page.
Show Notes
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