Anaphylaxis

Anaphylaxis is a sudden, severe allergic reaction that may cause death. The single most effective treatment for an episode of anaphylaxis is administration of epinephrine. Epinephrine is a chemical that arrests the chain of reactions that causes the signs and symptoms of anaphylaxis.

Biphasic Anaphylaxis

The late phase response, as noted, refers to the recrudescence of symptoms after an apparent temporary resolution. Such patients are said to experience biphasic anaphylaxis. Biphasic anaphylaxis is recurrent anaphylaxis occurring 1 to 72 hours after resolution of an initial anaphylactic episode, though an outside limit of 78 hours has also been suggested. Estimates of […]

Did you know Adrenaline doesn’t work for Cardiac Arrest?

Adrenaline may improve return of spontaneous circulation, but it does not improve survival to discharge or neurologic outcome. The timing of epinephrine may affect patient outcome, but Basic Life Support measures are the most important aspect of resuscitation and patient survival.  

Anaphylaxis

In Anaphylaxis, IM Adrenaline (lateral thigh) is preferred over subcutaneous injection because it leads to a more rapid rise in plasma concentration. Only use IV if the patient has circulatory collapse – this can be done peripherally for a short time period if necessary…

AHA 2015 Guidelines: A Preview

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about? Has epinephrine in cardiac arrest seen its last days? Should paramedics continue to intubate cardiac arrest patients? Will traditional CPR be abandoned for […]

Emergency Medicine Kenya Foundation