WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, August 6, 2022

EM Rash

REBEL Core Cast - June 01, 2022 - By Ellsworth Wright
Take Home Points
  • Examine all parts of the body, even inside the mouth – this can be the difference between benign and life threatening rashes
  • Truly emergent causes: meningococcemia, TTP, DIC, TSS, SJS, TEN, and necrotizing fasciitis
  • Toxic appearing patients with petechia/purpura = sepsis until proven otherwise
  • Look for medication reactions: Sulfa, Penicillins, NSAID’s, ABX, Chemo, Anti-epileptic agents
  • It’s ok not to know the cause – know the life threatening rashes and rule them out – refer to dermatology out patient
  • TTP – get smear, heme/onc consult, plasmapheresis, and AVOID giving platelets – they will just get chewed up – fix the underlying issue