Emergency treatment of anaphylaxis: concise clinical guidance
Andrew F Whyte, Jasmeet Soar, Amy Dodd, Anna Hughes, Nicholas Sargant and Paul J Turner
DOI: https://doi.org/10.7861/clinmed.2022-0073
Clin Med July 2022 Andrew F Whyte
ADerriford Hospital, Plymouth, UK
Roles: consultant allergist and immunologist
Jasmeet Soar
BSouthmead Hospital, Bristol, UK
Roles: consultant in anaesthetics and intensive care medicine
Amy Dodd
CSevern Deanery, Bristol, UK
Roles: specialty registrar in anaesthetics
Anna Hughes
DSevern Deanery, Bristol, UK
Roles: specialty registrar in paediatrics
Nicholas Sargant
EBristol, UK
Roles: consultant in paediatric emergency medicine and allergy
Paul J Turner
FImperial College London, London, UK
Roles: reader in paediatric allergy and clinical immunology
Article Information
vol. 22 no. 4 332-339
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History:
- Published online July 26, 2022.
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© Royal College of Physicians 2022. All rights reserved.
Author Information
- Andrew F Whyte, consultant allergist and immunologistA⇑,
- Jasmeet Soar, consultant in anaesthetics and intensive care medicineB,
- Amy Dodd, specialty registrar in anaestheticsC,
- Anna Hughes, specialty registrar in paediatricsD,
- Nicholas Sargant, consultant in paediatric emergency medicine and allergyE and
- Paul J Turner, reader in paediatric allergy and clinical immunologyF
- ADerriford Hospital, Plymouth, UK
- BSouthmead Hospital, Bristol, UK
- CSevern Deanery, Bristol, UK
- DSevern Deanery, Bristol, UK
- EBristol, UK
- FImperial College London, London, UK
- Address for correspondence: Dr Andrew F Whyte, Derriford Hospital, University Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Plymouth, Devon PL6 8DH, UK. Email: andrew.whyte{at}nhs.net Twitter: @theimmunodoc
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Emergency treatment of anaphylaxis: concise clinical guidance
Andrew F Whyte, Jasmeet Soar, Amy Dodd, Anna Hughes, Nicholas Sargant, Paul J Turner
Clinical Medicine Jul 2022, 22 (4) 332-339; DOI: 10.7861/clinmed.2022-0073
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- Article
- ABSTRACT
- Introduction
- The importance of appropriate positioning in the treatment of suspected anaphylaxis
- Emphasis on the use of IM adrenaline in the initial treatment of anaphylaxis
- Antihistamines are considered as a third-line intervention and should not be used to treat ABC problems
- Corticosteroids (eg hydrocortisone) are no longer advised for the routine emergency treatment of anaphylaxis
- Treatment of refractory anaphylaxis
- Measurement of mast cell tryptase
- Refined guidance regarding duration of observation following anaphylaxis and timing of discharge
- Conclusion
- Acknowledgements
- Conflicts of interest
- References
- Figures & Data
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