"1000Kg of adrenaline," I doubt if "staying" the sho's hand would be as useful
as "giving " him a hand , must be a hell of a syringe for one person to
lift...............
>>> Goat 10/31/03 03:05pm >>>
In message <[log in to unmask]
tr.wmids.nhs.uk>, Dunn Matthew Dr. (RJC) ACCIDENT & EMERGENCY - SwarkHosp-TR
<[log in to unmask]> writes
>I think the adrenaline allergy is probably to something else
>(e.g. preservative) in the solution. I've seen reactions to salbutamol and
>hydrocortisone.
...presumably also due to preservatives etc.
The pseudo-scientists who hype stories of being ANAPHYLACTIC to water,
adrenaline,
saline, or any other essential component of us all have a lot to answer for.
That
nice Mr Michael Burke on "999" is also culpable: they must have dramatised
every
case of real anaphylaxis in the country in the last 10 years.
I think Mr and Mrs J Public are suffering from drama-queen-itis:
"Its not a cold - its flu" (although obviously all blokes really DO have flu),
"I've ruptured my ligaments, I need to see a doctor" (i.e. sprain, I need
sympathy),
"I'm anaphylactic to water" (my face gets sore in winter rain)
I dread to think how many "anaphylaxis" sufferers we saw last year: mostly
just
vigorous local reactions to stings, or short-lived urticaria needing advice on
self-
medication at most. Most summers I have to stay the hand an SHO about to
inject a
bolus of 1000 Kg of adrenaline into the vein of some unsuspecting 60 year old
angina, because his next door neighbour (an NHS direct advisor) told him he
had
anaphylaxis and was going to die if he didn't dial 999.
(Rant mode off)
Proper multi-system, clapped-out, imminent CVS/RS collapse kind of anaphylaxis
is
rare, thankfully, since it scares the adrenaline out of me! I pity the poor
genuine
sufferers: it must be absolutely terrifying and they should come in stat of
course.
Goat
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