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Latest & greatest articles for Anaphylaxis
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most common cause. Bees may leave a venom sac which should Insect sting- be scraped off (not squeezed). induced Injected allergens commonly anaphylaxis result in cardiovascular compromise, with hypotension and shock predominating. Medications, particularly penicillin, account for a large Drug-induced percentage of anaphylacticanaphylaxis reactions. Slow release drugs prolong absorption and exposure to the allergen. Other causes Latex, and exercise. For background and pathphysiology of anaphylaxis (...) ? possible continuing absorption of the allergen ? previous history of biphasic reactions. Key Points – Anaphylaxis in children ? Anaphylaxis may be dif?cult to diagnose. ? Remove the allergen. ? Epinephrine is the mainstay of treatment. ? Reactions may recur. ? Hydrocortisone is not part of the immediate treatment. REFERENCES 1 Chamberlain D. Emergency medical treatment of anaphylactic reactions. Project Team of the Resuscitation Council (UK). J Accid Emerg Med 1999 16(4):243-247. 2 Revell M, Porter K
and clinical immunology 2004;114(2):371-6. 2 Kane KE, Cone DC. Anaphylaxis in the pre-hospital setting. The Journal of emergency medicine 2004;27(4):371-7. 3 McLean-Tooke AP , Bethune CA, Fay AC, Spickett GP . Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ 2003;327(7427):1332-5. 4 Chamberlain D, Fisher J, Ward M, Cant A, Dawson P , Ewan P , et al. The Emergency Medical Treatment of Anaphylactic Reactions for First Medical Responders and for Community Nurses Resuscitation Council (UK (...) ):584-91. 10 Thompson K, Chandra R. The management and prevention of food anaphylaxis. Nutrition Research 2002;22:89-110. 11 Af?liation: Royal College of Paediatrics and Child Health UKCAPToTRC. Update on the emergency medical treatment of anaphylactic reactions for ?rst medical responders and for community nurses. Resuscitation 2001;48(3):241-3. 12 Project Team of The Resuscitation Council (UK). Update on the emergency medical treatment of anaphylactic reactions for ?rst medical responders
Pharmacological prevention of serious anaphylactic reactions due to iodinated contrast media: systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Glucagon infusion in refractory anaphylactic shock in patients on beta-blockers BestBets: Glucagon infusion in anaphylactic shock in patients on beta-blockers Glucagon infusion in anaphylactic shock in patients on beta-blockers Report By: Martin Thomas - Specialist Registrar Search checked by Ian Crawford - Senior Clinical Fellow Institution: Manchester Royal Infirmary Date Submitted: 1st March 2000 Date Completed: 12th April 2005 Last Modified: 6th January 2005 Status: Green (complete) Three (...) Part Question In [anaphylactic shock for patients on regular beta-blockers] does [the use of a glucagon infusion] improve [outcome]? Clinical Scenario A 53 year old man attends the emergency department with a severe allergic reaction, having been stung by a wasp. You note that he takes atenolol for angina. Despite adequate treatment with adrenaline and intravenous fluids, he remains hypotensive and subsequently dies. Afterwards, you hear that a glucagon infusion may have been of benefit and wonder
The diagnosis and management of anaphylaxis: an updated practice parameter. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding
Sequential randomised and double blind trial of promethazine prophylaxis against early anaphylactic reactions to antivenom for bothrops snake bites. To investigate the efficacy of the H1 antihistamine promethazine against early anaphylactic reactions to antivenom.Sequential randomised, double blind, placebo controlled trial.Public hospital in a venom research institute, São Paulo, Brazil.101 patients requiring antivenom treatment after being bitten by bothrops snakes.Intramuscular injection (...) of promethazine (25 mg for adults and 0.5/kg for children) or placebo given 15-20 min before starting intravenous infusion of antivenom.Incidence and severity of anaphylactic reactions occurring within 24 hours after antivenom.Reactions occurred in 12 of 49 patients treated with promethazine (24%) and in 13 of 52 given placebo (25%); most were mild or moderate. Continuous sequential analysis indicated that the study could be interrupted at the 22nd untied pair, without preference for promethazine
Idiopathic anaphylaxis: long-term follow-up, cost, and outlook Idiopathic anaphylaxis: long-term follow-up, cost, and outlook Idiopathic anaphylaxis: long-term follow-up, cost, and outlook Krasnick J, Patterson R, Harris K E Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability (...) of the study and the conclusions drawn. Health technology Oral corticosteroids, antihistamines and sympathomimetics in the treatment of patients with idiopathic anaphylaxis. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Patients with idiopathic anaphylaxis. Setting Hospital. The economic study was carried out in Chicago, Illinois, USA. Dates to which data relate The data for the effectiveness analysis and resource use corresponded to the period between