#apem2012
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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
nmay.bsky.social
Different patterns of clinical features: adults derm 80-90%, resp 70%, CV 10-45%, GI 30-45%
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 10:46 AM
nmay.bsky.social
Anaphylaxis can masquerade as asthma in kids: more likely if older, symptom onset fast
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 9:33 AM
nmay.bsky.social
Exercise-induced anaphylaxis: rare, can be triggered by exercise alone or with food as co-factor
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 9:33 AM
nmay.bsky.social
Foods most commonly implicated in FDEIA: wheat, shellfish, tomatoes, peanuts and corn
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 9:33 AM
nmay.bsky.social
Food Dependent Exercised Induced Anaphylaxis: food usually ingested 4-6hrs before exercise
Nick Sargant on Anaphylaxis #APEM2012
November 30, 2024 at 9:33 AM
nmay.bsky.social
Tryptase: measure at time, 1-2h later & 12h later (r/o mastocytosis)
Not all paed anaphylaxis acc by rise in tryptase
Nick Sargant #APEM2012
November 30, 2024 at 9:33 AM