#APEM2012
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nmay.bsky.social
Solutions: workforce to match workload
@CEMpresident Future of EM #APEM2012
November 30, 2024 at 7:12 AM
nmay.bsky.social
Solutions: revaluation of emergency work. Separation of elective/emergency work
@CEMpresident Future of EM #APEM2012
November 30, 2024 at 7:12 AM
nmay.bsky.social
Solutions: system wide approach. Primary care needs to take some of the workload
@CEMpresident Future of EM #APEM2012
November 30, 2024 at 7:12 AM
nmay.bsky.social
Best data on TXA use in trauma comes from CRASH-2: but no paed patients in this trial
Anne Kerr - TXA in Paed Trauma #APEM2012
November 29, 2024 at 10:52 PM
nmay.bsky.social
Listening to Ben McKenzie now at @SydneyHEMS education day stemlynsblog.org/just-a-routine…

I first heard about asthma/anaphylaxis crossover in kids more than a decade ago - have been trying to persuade people to lower their threshold to give IM adrenaline since.
Screenshot of tweet from Dec 2012, which reads: Anaphylaxis can masquerade as asthma in kids: more likely if older, symptom onset fast Nick Sargant on Anaphylaxis #APEM2012
November 7, 2023 at 10:23 PM
nmay.bsky.social
RCPCH: 15mg/kg loading (max 1g) then 2mg/kg infusion for major haemorrhage
http://www.rcpch.ac.uk/system/files/protected/page/121112_TXA%20evidence%20statement_final%20v2.pdf
Anne Kerr - TXA in Paed Trauma #APEM2012
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www.rcpch.ac.uk
November 29, 2024 at 10:52 PM
emmanchester.bsky.social
“@_nmay: Entonox: mobile but demand valve mean difficult in kids <5yrs
@RonanOSull Paed procedural sedn #APEM2012”
Use free flow nitrous!
December 2, 2024 at 11:37 PM
emmanchester.bsky.social
“@stublue: @_nmay same way you cope with a library #apem2012”
December 2, 2024 at 11:37 PM
emmanchester.bsky.social
“@_nmay: Near-pt testing of N. Meningiditis in the ED: #APEM2012”
What were conf intervals, prevalence and patient population? ?tgtbt?
December 2, 2024 at 11:37 PM
emmanchester.bsky.social
“@rmjenner: MRI c spine #APEM2012 Cath Bevan”

Logistically challenging in acute setting though. Need good radiology support (which we have)
December 2, 2024 at 11:37 PM
nmay.bsky.social
@damian_roland Going to register the #APEM2012 hashtag at Symplur...
November 30, 2024 at 2:58 PM
nmay.bsky.social
@dralexblythe http://www.apem.me.uk/downloadfile.php?id=143&ty=5 #APEM2012
November 30, 2024 at 2:58 PM
nmay.bsky.social
Heading south - #APEM2012 in 3 days.
Hoping to convert the PEM docs to SoMe, #FOAMed and maybe recruit a few to the #FFF too...
November 30, 2024 at 11:26 AM
nmay.bsky.social
@DrGDH @damian_roland Of course! Tweets also expected from @dralexblythe @drapickering @mdlyttle @kazpotier & @rmjenner #APEM2012
November 30, 2024 at 11:26 AM
nmay.bsky.social
Tweets from #APEM2012 in Bristol. Follow the hashtag - will try to keep it interesting!
November 30, 2024 at 11:26 AM
nmay.bsky.social
Wifi password given out with housekeeping info - its a great start :-) #APEM2012
November 30, 2024 at 11:26 AM
nmay.bsky.social
Last 15yrs in UK: 7 fold increase in hospital admission for anaphylaxis
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 11:26 AM
nmay.bsky.social
Fatalities estimated at <2% of cases: more likely to be struck by lightning.
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
In younger age groups, prevalence of food induced anaphylaxis has increased disproportionally
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
RF for fatal anaphylaxis: asthma, peanuts, delayed IM adren, severe prev reactions, poor attitude, ingestion outside home
#APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Common triggers: food most common in kids - cows milk, egg, soy, wheat, peanuts, tree nuts, fish.
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Insect stings: systemic reaction in up to 3% of adults, 1% kids
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Important to take history of foods consumed in 6h before episode and co-factors e.g. exercise, cold
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Symptoms usually develop 5-30mins after exposure but may take several hours esp for food
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Different patterns of clinical features: kids derm 82%, resp 95%, CV <2%, GI 20-45%
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM