When giving Epinephrine for anaphylaxis is it expectable to delay administration of diphenhydramine following the first dose of Epinephrine if it is getting close to the 5 minute dose interval for the second dose of Epinephrine and the patient is requiring the second dose of Epinephrine? My understanding is that Epinephrine in anaphylaxis is the priority medication and I could use clarification as to whether or not it is okay to delay administration of diphenhydramine until after the second dose of Epinephrine if the patient requires a second dose and we were not able to administer diphenhydramine in between the required 5 minute dose interval for the second dose of Epinephrine.

I was hoping to get some clarification as to what a penetrating trauma under FTT guidelines is considered to be? I’ve seen many definitions that will define it as a breaking of the skin resulting in an open wound but wouldn’t a laceration fall under that definition? For example you attend a patient that has fallen resulting in a deep laceration to their head. Would that injury be considered penetrating and thus fall under FTT guidelines?

Should Midazolam be considered in the management of a trauma patient with trismus? In the absence of tonic/clonic seizure.