Anaphylactic reactions: treatment for adults by first medical responders. *An inhaled β2 agonist such as salbutamol may be used as an adjunctive measure.

Slides:

Advertisements

Similar presentations

Copyright ©2001 BMJ Publishing Group Ltd. Emerg Med J 2001;18:

Advertisements

Anaphylaxis SHO presentation Tom Francis ICU Registrar.

Guildford and Waverley CCG Medicines Management - update on adrenaline autoinjectors 24 th July 2014.

Anaphylaxis. Severe Anaphylactic Reactions Manifestation Respiratory difficulty Signs of shock/hypotension Involvement of skin/mucosal tissue GI symptoms.

Radiology Life Support: Dealing with Acute Contrast Reactions William H. Bush, Jr., MD, FACR University of Washington.

Mohan Kamalanathan Emergency Department Frankston Hospital

Anaphylaxis: The Empty Box Audit

 Using conventional ionic contrast agents, total adverse reactions can be expected with a frequency of ~5-8%  Adverse reactions from intravascular contrast.

Code Sepsis: Current Evidence Based Guidelines and the CMS Sepsis Core Measure Adult Patients - Abbreviated Updated May 26, 2017.

A Single Centre Experience In Managing Anaphylaxis In The Emergency Department Iman Nasr1; Joanna Lukawska1,2; Runa Ali1; Ikram Nasr3; Jason Pott1; Tim.

Rare ……..But it could be YOU!

Anthrax immune globulin human

Categorisation of direct and indirect admissions to the intensive care unit (ICU) from emergency departments (EDs), using source of admission. Categorisation.

Immediate Management Prof Nigel Harper Clinical Lead, NAP6

DB00103 Category : Enzyme Replacement Agents

The Integrated Performance Health Management and Coaching Model.

Treatment of acute asthma

Division 4 Medical Emergencies

STRONG RECOMMENDATIONS (appendix A)

Extension lateral cervical spine radiograph showing normal alignment of the upper cervical spine. Extension lateral cervical spine radiograph showing.

Chart 3: Working example of oxygen section for hospital prescription charts (two panels are required on the prescription chart because oxygen may change.

A, B, C, D show outcome results for individual symptoms using GSRS-IBS scoring system and mean symptom severity scores before and after IBS dietetic management.

Effect of confidence interval reduction to demonstrate a true difference in means. Effect of confidence interval reduction to demonstrate a true difference.

Anaphylaxis Following Foam Sclerotherapy: A Life Threatening Complication of Non Invasive Treatment For Varicose Veins J.R.H. Scurr, R.K. Fisher, S.B.

A, B, C, D show outcome results for individual symptoms using GSRS-IBS scoring system and mean symptom severity scores before and after IBS dietetic management.

Summary of 2002 data. Summary of 2002 data. All patients with head injuries (HI) for the nine month control period are included. The new protocol was.

Summary of 2001 data. Summary of 2001 data. All patients with head injuries (HI) for the seven month control period are included. Royal College of Surgeons.

Algorithm for the use of Heliox in the treatments of exacerbations of asthma as used in Bridgeport Hospital, Connecticut. Algorithm for the use of Heliox.

Schematic representation of dose-response relations for toxic chemicals: — – — – candidates for OESs; ······ candidates for MELs. Response may be increasing.

(A) The right precordial leads V1 to V3 in a chest pain patient ultimately diagnosed with AMI. (B) Additional posterior leads V8 and V9 reveal STE, confirming.

The various causes of electrocardiographic ST segment depression.

(Case 1) ST segment depression attributable to myocardial ischaemia (non-infarction)—ECG demonstrated NSR with ST segment depression in the anterolateral.

(Case 5) Left ventricular hypertrophy—12-lead ECG demonstrating NSR with LVH. The ST segment depression in the lateral leads (I, aVl, V5, and V6) is seen.

Small group play: five a side football, including a goalkeeper.

12 lead ECG demonstrating ST segment elevation and prominent Q waves in the anterior distribution. 12 lead ECG demonstrating ST segment elevation and prominent.

(Case 2) Reciprocal ST segment depression—the ECG demonstrated early anterolateral AMI with reciprocal ST segment depression in the inferior leads. (Case.

Non-ST segment elevation AMI—AMI characteristically presents with STE in approximately 50% of myocardial infarction patients; in the remainder of the AMI.

Number of patients needed to detect effect sizes in comparative outcome studies, and actual mean number and range of patients included in comparative trials.

FEV1 values (% of predicted) in patients with final low (<4

(Case 3) Acute, isolated posterior wall myocardial infarction.

Recommended clinical guideline for the management of Kawasaki disease in the UK. Since risk scores for IVIG resistance perform sub-optimally in non-Japanese.

Summary of defences to prevent errors in the administration of intrathecal chemotherapy, based on Department of Health guidance on the safe administration.

(Case 6) Digoxin effect— 12-lead ECG demonstrated NSR with diffuse ST segment depression. (Case 6) Digoxin effect— 12-lead ECG demonstrated NSR with diffuse.

Potential vehicle extrication paths: (a) long board out to rear; rapid extrication, driver’s door; (c) rapid extrication, opposite door; (d) long board.

Distribution of NEWS in the community by service

(A) Meta-analysis of weight SD scores in children who had experienced failure to thrive in infancy as compared with controls. (A) Meta-analysis of weight.

Top alleged medical error named in claims where the patient expired (Physician Insurers Association of America (PIAA) Data Sharing Project Data 1985–2009,

Factors that may facilitate timely withdrawal of the feeding tube from a permanent vegetative state patient when family and treating team agree that treatment.

A model for structuring medical and science services and function—based on aspects of the current and previous (2009–2012) UK Athletics Performance Department.

Summary of operational response to chemical or HazMat incidents indicating the tapering elements of the initial operational response (IOR) and specialist.

The comprehensive process for responding to patient safety incidents at the University of Illinois Medical Center at Chicago. The comprehensive process.

The computed tomography demarcated the lesion and showed a necrotic change over the pancreatic tail and abnormal fluid collection over the pancreatic.

Pictogram demonstrating the blot and rub method for performing dry decontamination on casualties with scalp hair. Pictogram demonstrating the blot and.

(Case 4) Left bundle branch block—a 12-lead ECG demonstrated NSR with a LBBB. The ST segment depression in the lateral leads is consistent with the altered.

A history of “hurt neck in road traffic accident” can mean anything from the injury being sustained in a minor rear end shunt to a major high speed and.

Study designs for double-blind single maintenance and reliever therapy (SMART) studies. Study designs for double-blind single maintenance and reliever.

Changes in responder classification and corresponding subgroup mean FEV1 at each visit after both bronchodilators using (A) American Thoracic Society and.

ST segment elevation in a chest pain patient with left ventricular aneurysm (case 2)—ST segment elevation is seen in the inferior leads. ST segment elevation.

(Left panel) Incidence of non-traumatic cardiac arrest (NTCA) per 100 000 population by age group and sex (n=8557): age or sex data were not recorded in.

You are the first on scene of a road traffic accident, a mini bus has been in collision with a tree. You are the first on scene of a road traffic accident,

Radiograph of the lower limbs showing genu varum, fraying and splaying of the metaphyses with fragmentation of the medial aspect of the lower femoral.

Lateral view of the knee demonstrating a green stick fracture of the distal femur. Lateral view of the knee demonstrating a green stick fracture of the.

Objectively measured distributions of moderate to vigorous physical activity (MVPA), light intensity physical activity (LIPA) and sedentary time during.

Ensuring adequate circulation to sustain life (Algorithm 3)

T distribution curve with 30 degrees of freedom demonstrating one and two areas of rejection. t distribution curve with 30 degrees of freedom demonstrating.

Relationship of the internal jugular vein diameter to various angles of Trendelenburg tilt. Relationship of the internal jugular vein diameter to various.

(A) Computed tomography showing left frontal intracerebral haematoma and skull vault fracture with (B) corresponding plain skull radiograph showing a depressed.

(A) The entry and exit burn injuries attributable to electrical shock located in the proximal portions of the second and third fingers of the right hand.

Box and whisker plot showing time to successfully secure the airway using a laryngeal mask (LM) and endotracheal tube (ETT). Box and whisker plot showing.

Presentation transcript:

Anaphylactic reactions: treatment for adults by first medical responders. *An inhaled β2 agonist such as salbutamol may be used as an adjunctive measure if bronchospasm is severe and does not respond rapidly to other treatment. †If profound shock judged immediately life threatening give CPR/ALS if necessary. Anaphylactic reactions: treatment for adults by first medical responders. *An inhaled β2 agonist such as salbutamol may be used as an adjunctive measure if bronchospasm is severe and does not respond rapidly to other treatment. †If profound shock judged immediately life threatening give CPR/ALS if necessary. Consider slow intravenous (IV) adrenaline (epinephrine) 1:10 000 solution. This is hazardous and is recommended only for an experienced practitioner who can also obtain IV access without delay. Note the different strength of adrenaline (epinephrine) that may be required for IV use. ‡If adults are treated with an EpiPen, the 300 μg will usually be sufficient. A second dose may be required. Half doses of adrenaline (epinephrine) may be safer for patients on amitriptyline, imipramine, or β blocker. §A crystalloid may be safer than a colloid. Project Team of The Resuscitation Council (UK) Emerg Med J 2001;18:393-395 Copyright © BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved.