Clinical Notes : Resuscitation
9. Anaphylaxis
Angiodema
Skin or mucosal changes (flushing ,lip swelling or urticaria) without ABC problems,
Anaphylaxis
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Sudden onset and rapid progression of symptoms
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Angiodema AND
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Life threatening problems:
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Airway : swelling, hoarse voice, stridor
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Breathing : shortness of breath, wheeze,
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Circulation : pale, clammy, hypotension,
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Treatment
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Call for help
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Lie patient flat and raise legs
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Use adrenaline early
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Give IM (safer and easier)
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Repeat after 5 min. if no better
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Admit to hospital for
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Monitoring (due to the risk of “biphasic delayed recurrence")
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Only use antihistamines and hydrocortisone after initial resuscitation
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Consider nebulised beta agonist if wheezy
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Anaphylaxis
American Academy of Allergy Asthma and Immunology.
2019
Emergency Treatment of Anaphylactic Reactions
Resuscitation Council UK
2019
Guidelines for the Assessment and Management of Anaphylaxis
The World Allergy Organization (WAO)
2015
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