Yes, interesting paper. I'm glad they mentioned the problem of patients who
can get delayed reactions in anaphylaxis. I must admit I've usually veered
on the side of caution if adrenaline has been given and admit them for a
period of observation....... so perhaps not necessary if just a sting. What
do others do?
Regarding the iv versus im debate. Both work........ the problem occurs when
junior / inexperienced staff are taught about both. I've had two patients
given neat adrenaline iv as a bolus over the years and both ended up on CCU
though survived. The human body is very robust! One doctor was an SHO and
the other was a GP. With the former the SHO had been to the lecture on
anaphylaxis the week before.... though was obviously half asleep.
Ray McGlone
A&E Lancaster
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, March 13, 2004 10:11 AM
Subject: Anaphylaxis study
> I don't know if Simon Brown still reads this forum, but can I salute his
astonishing paper on ant
> venom anaphylaxis? It is one of the bravest pieces of medical research
with some of the bravest
> volunteer patients in modern times, and his addition of atropine could
well save lives. We recently
> had a patient die in front of one of us of anaphylaxis, and he collapsed
within seconds.
>
> Emerg Med J 2004:21;149-154.
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
> Visit the new and improved http://www.emergencyunit.com
>
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