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Sean M. Fox
EM and Ped MD working with the best residents around (Carolinas). The best way to learn is to teach... best way to teach is to think out loud.
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Sean M. Fox 6h
Kawasaki Disease Shock Syndrome
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Sean M. Fox Sep 21
Reaven: Angioedema- Airway Management is priority regardless of type of angioedema!
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Sean M. Fox Sep 21
Reaven: Angioedema- Acquired C1 inhibitor Deficiency: Need to treat underlying lymphoma.
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Sean M. Fox Sep 21
Reaven: Angioedema- Acquired C1 inhibitor Deficiency: Can give replacement, but autoabs are still there.
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Sean M. Fox Sep 21
Reaven: Angioedema- Acquired C1 inhibitor Deficiency: Assoc. with B-Cell lymphoma! Autoantibodies made.
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Sean M. Fox Sep 21
Reaven: Angioedema- Hereditary: Tx with purified human C1 inhibitor or FFP (although not as good)
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Sean M. Fox Sep 21
Reaven: Angioedema- Hereditary: C1 esterase inhibitor deficiency (type 1) or dysfunction (type 2).
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Sean M. Fox Sep 21
Reaven: Angioedema- ACEI induced: Antihistamines, episode, steroids, won’t work.
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Sean M. Fox Sep 21
Reaven: Angioedema- ACEI induced: 0.1-0.2% of pts on ACEI. Can occur after YEARS of use.
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Sean M. Fox Sep 21
Reaven: Angioedema- Acute Allergic: Treat with Epi, histamine blockade, and steroids.
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Sean M. Fox Sep 21
Reaven: Angioedema- Acute Allergic: 1-2 hrs after exposure. Usually histamine release and has Rash.
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Sean M. Fox Sep 21
Reaven: Angioedema- 5 major types of angioedema
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Sean M. Fox Sep 21
Reaven: Angioedema- Not all tongue swelling is angioedema! Cellulitis, SVC syndrome, heart failure, etc.
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Sean M. Fox Sep 21
Gibbs: Must prevent hypoxia and hypotension to help decrease risk for secondary brain injury.
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Sean M. Fox Sep 21
Gibbs: Brain injury is the #1 killer in trauma. We must prevent SECONDARY Injury.
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Sean M. Fox Sep 21
Gibbs: SDH is typically associated with worse underlying brain injury and worse prognosis than EDH.
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Sean M. Fox Sep 21
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Sean M. Fox Sep 21
For patients on Coumadin, reversal of anticoagulation is PART OF RESUSCITATION w/ trauma eval!
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Sean M. Fox Sep 21
Also, don’t forget Nephrotic Syndrome and other pro-thrombotic states.
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Sean M. Fox Sep 21
Drug Induced bradycardia? Pacing is secondary. Tx for hyperK, Dig, BetaBlocker tox, etc is primary!
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