Emergency Medicine Literature of Note - 12/26 2013 - Posted by Anand Swaminathan
"The bottom line is that clinically important biphasic reactions are rare (less than 1%) and can occur days after the initial reaction. There is no 100% safe observation period. After symptom relief, and decision for discharge, patients should be given epinephrine auto injectors and taught how to use them. Any potential inciting allergens should be removed and follow up should be arranged with an allergist. With a clinically important biphasic response rate < 0.5%, extended observation seems to be unnecessary."
http://www.emlitofnote.com/2013/12/biphasic-anaphylactic-reactions-how.html
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The Skeptics Guide to Emergency Medicine - 12/13 2013 - By Anand Swaminathan
http://thesgem.com/2013/12/sgem57-should-i-stay-or-should-i-go-biphasic-anaphylactic-response/
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