Anaphylaxis
Anaphylaxis A = Airway B = Breathing C = Circulation D = Disability E = Exposure Diagnosis – look for: • Sudden onset of Airway and/or Breathing and/or Circulation problems1 • And usually skin changes (e.g. itchy rash) • Establish airway • Give high flow oxygen • Apply monitoring: pulse oximetry, ECG, blood pressure ...
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Refractory anaphylaxis A
www.resus.org.ukRefractory anaphylaxis No improvement in respiratory or cardiovascular symptoms despite 2 appropriate doses of intramuscular adrenaline Cardiac arrest – follow ALS ALGORITHM • Start chest compressions early • Use IV or IO adrenaline bolus (cardiac arrest protocol) • Aggressive fluid resuscitation
Emergency treatment of anaphylaxis Guidelines for ...
www.resus.org.ukBristol Royal Hospital for Children Bristol, UK E: nicholas.sargant@uhbw.nhs.uk No relevant conflict of interest Andrew F. Whyte Consultant in Allergy and Immunology Derriford Hospital University Hospitals Plymouth NHS Trust Plymouth UK E: andrew.whyte@nhs.net
Key recommendations for clinical practice
www.resus.org.ukappropriate adrenaline injector as an interim measure before the specialist allergy assessment (unless the reaction was drug-induced). o Patients prescribed adrenaline auto-injectors (and/or their parents/carers) must receive training in their use, …
Cardiopulmonary resuscitation, automated defibrillators ...
www.resus.org.ukbe as clear-cut if the rescuer isn’t medically qualified, the defence of necessity may be available, provided the rescuer acts reasonably in the circumstances. For instance, it would be reasonable to carry out CPR and use an AED if no healthcare professionals were available. Section 5 of the Mental Capacity Act (England
Resuscitation Council (UK)
www.resus.org.ukResuscitation Council (UK) EMERGENCY TREATMENT OF ANAPHYLACTIC REACTIONS6 1. Introduction 1.1 Purpose of this guideline The UK incidence of anaphylactic reactions is rising.2 Despite previous guidelines, there is confusion about …
Adult tachycardia - Resus
www.resus.org.ukProbable atrial fibrillation: • Control rate with beta-blocker • Consider digoxin or amiodarone if evidence of heart failure •– Anticoagulate if duration > 48 h Vagal manoeuvres If ineffective: • Give Adenosine (if no pre-excitation) 6 mg rapid IV bolus – If unsuccessful, give 12 mg – If unsuccessful, give 18 mg • Monitor ECG
Decisions relating to cardiopulmonary resuscitation
www.resus.org.ukmay include family, other carers, close friends or others able to support or speak for the patient). This must not prevent discussion, to involve patients in shared decision-making whenever appropriate, or in some circumstances . Decisions relating to cardiopulmonary resuscitation 3 to inform patients of a decision and explain the reasons for ...
Adult Tachycardia (with pulse) Algorithm
www.resus.org.ukAF with bundle branch block treat as for narrow complex Pre-excited AF consider amiodarone If VT (or uncertain rhythm): Amiodarone 300 mg IV over 20-60 min then 900 mg over 24 h If known to be SVT with bundle branch block: Treat as for regular narrow-complex tachycardia Synchronised DC Shock* Up to 3 attempts
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Adult advanced life support - Home | Resuscitation Council UK
www.resus.org.uk• Thrombosis – coronary or pulmonary • Tension pneumothorax • Tamponade – cardiac • Toxins Consider ultrasound imaging to identify reversible causes Consider • Coronary angiography/ percutaneous coronary intervention • Mechanical chest compressions to facilitate transfer/treatment • Extracorporeal CPR After ROSC
Paediatric out-of-hospital basic life support
www.resus.org.ukbasic life support Unresponsive Shout for help Open airway 5 rescue breaths Infant: mouth to nose/mouth Child: mouth to mouth If unable/unsafe to ventilate, perform continuous chest compressions Add rescue breaths as soon as possible 30 chest compressions 2 rescue breaths NO or any doubt NO YES YES Breathing normally? If no signs of life observed
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Allergy Anaphylaxis Australia - NSW Food Authority
www.foodauthority.nsw.gov.auknown as anaphylaxis. anaphylaxis is potentially life threatening anaphylaxis caused by food has doubled in the last 10 years* hospital admissions for anaphylaxis have increased 5-fold in the last 20 years** for the consumer with food allergy there is no safe limit for the allergens that they are sensitised to.
Clinical Practice Guidelines: Medical/Anaphylaxis and ...
www.ambulance.qld.gov.auanaphylaxis, regardless of whether diagnostic criteria are met, if suspicion for anaphylaxis is high (e.g. previous severe reaction, known exposure to an allergen).
COVID-19 vaccine safety update
www.cdc.govAnaphylaxis following mRNA COVID-19 vaccines Shimabukuro TT, Cole M, Su JR. Reports of Anaphylaxis After Receipt of mRNA COVID-19 Vaccines in the US-December 14, 2020-January 18, 2021. JAMA. 2021 Feb 12. doi: 10.1001/jama.2021.1967. Epub ahead of print. Pfizer-BioNTech. Moderna. 14. VSD.
Vaccine Injury Table
www.hrsa.govAnaphylaxis. Anaphylaxis is an acute, severe, and potentially lethal systemic reaction that occurs as a single discrete event with simultaneous involvement of two or more organ systems. Most cases resolve without sequela. Signs and symptoms begin minutes to a few hours after exposure. Death, if it
HIGHLIGHTS OF PRESCRIBING INFORMATION These …
www.merck.comJANUVIA. These reactions include anaphylaxis, angioedema, and exfoliative skin conditions including Stevens-Johnson syndrome. Onset of these reactions occurred within the first 3 months after initiation of treatment with JANUVIA, with some reports occurring after the first dose. If a hypersensitivity reaction is
Information, Prescribing, Prescribing information, Anaphylaxis