Episode 78 Anaphylaxis and Anaphylactic Shock – Live from The EM Cases Course

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7 • 602 Ratings

🗓️ 15 March 2016

⏱️ 51 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Anaphylaxis is the quintessential medical emergency. We own this one. While the vast majority of anaphylaxis is relatively benign, about 1% of these patients die from anaphylactic shock. And usually they die quickly. Observational data show that people who die from anaphylaxis and anaphylactic shock do so within about 5-30mins of onset, and in up to 40% there’s no identifiable trigger. The sad thing is that many of these deaths are because of two simple reasons: 1. The anaphylaxis was misdiagnosed and 2. Treatment of anaphylaxis and anaphylactic shock was inappropriate. So there’s still lots of room for improvement when it comes to anaphylaxis and anaphylactic shock management. With the help of Dr. David Carr of Carr's Cases fame, we’ll discuss how to pick up atypical presentations of anaphylaxis, how to manage the challenging situation of epinephrine-resistant anaphylactic shock, whether or not we should abandon steroids, a rare but ‘must know’ diagnosis related to anaphylaxis, and much more. Plus, we have a special guest apperance by George Kovacs, airway guru, to walk us through an approach to the impending airway obstruction we might face in anaphylaxis.

Transcript

Click on a timestamp to play from that location

0:00.0	This podcast was recorded during the EMKC's course in Toronto in February 2016 in front of a live audience.
0:06.9	Thanks so much to everyone who made the course a great learning experience for all,
0:11.1	and apologies in advance for the suboptimal sound.
0:15.6	We're about to do what's never been done before in emergency medicine.
0:20.6	This is not a lecture. This is not 150
0:24.0	PowerPoint slides. This isn't even a regular podcast. This is the first ever live EM cases
0:30.2	podcast where we'll get a sneak peek a little bit at the behind the scenes of how we record a podcast,
0:36.3	except this time it's going to be with audience
0:38.8	participation. We'll be putting some questions out there to you, the audience, along the way.
0:45.2	So, what do you say, Dr. Carr? Should we cue the music? Hit it.
0:53.7	Welcome to the Emergency Medicine Cases podcast.
0:56.0	I'm your host, Dr. Anton Hellman, coming to you live from the EM cases course at North York General.
1:03.0	On this special live podcast, we have Dr. David Carr of Cars, Cases, fame, international speaker extraordinaire, passionate educator, and all-around great guy from the University Health Network in Toronto to discuss one of his favorite topics in EM anaphylaxis.
1:32.0	So welcome Dr. Cart back to EM cases
1:34.8	and welcome everyone here at the course to the live podcast.
1:39.3	Thanks for having me.
1:40.1	Thank you. Anaphylaxis is the quintessential medical emergency.
1:57.0	We own this one.
1:59.8	While the vast majority of anaphylaxis is relatively benign,
2:03.3	about 1% of these folks die, and usually they die quickly. Observational data show that people
2:10.4	who die from anaphylaxis do so within about 5 to 30 minutes. And in up to 40%, there's no
2:16.8	identifiable trigger. The sad thing is that many of these
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Dr. Anton Helman, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Anton Helman and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.