Emergency medicine Australasia : EMA
-
Emerg Med Australas · Feb 2004
ReviewPharmacological therapy of acute cardiogenic pulmonary oedema in the emergency department.
This paper critically reviews the major drug types that are currently used in the management of acute cardiogenic pulmonary oedema. As decompensated heart failure becomes an increasingly common problem in emergency departments in the developed world, optimization of emergency drug therapy for these critically ill patients is essential. The evidence base for 'routine therapy' in the ED is considered. The review also briefly considers emerging pharmacological therapies that may have an impact on future management of cardiogenic pulmonary oedema.
-
Emerg Med Australas · Feb 2004
Letter Case ReportsAcute urinary retention secondary to kava ingestion.
-
Emerg Med Australas · Feb 2004
Case ReportsAnaphylaxis to trimethoprim: an under-appreciated risk in acute medical care.
Anaphylaxis is a severe, systemic allergic reaction, which is frequently unexpected and carries a high mortality risk as a medical emergency. Anaphylaxis to trimethoprim is not a well recognized event. Since trimethoprim represents the leading antibiotic for the treatment of urinary tract infections, its potential to cause anaphylaxis needs to be recognized, whether alone or as the 'active' ingredient in cotrimoxazole (trimethoprim-sulphamethoxazole combination), by those prescribing it and those providing acute care. A case of probable anaphylaxis following trimethoprim ingestion is presented with discussion supporting its potency including evidence at an immunological level highlighting its under-appreciated risk in acute medical care.