Here are two great videos on Angioedema from Dr. Mellick’s YouTube Channel:
And here are links to two awesome resources on Angioedema from Core EM:
Take Home Points
- Airway management is paramount, expect a challenging intubation and consider controlling the airway early
- When controlling the airway, consider an awake approach and fiberoptics if available. Always be prepared for the can’t intubate, can’t oxygenate scenario with a double set up.
- If the patient has urticaria and pruritus, the process is likely histamine mediated and will respond to typical anaphylaxis treatment
- Finally, observe the patient for progression of swelling and don’t forget to stop the inciting medication