Just reading through the notes of a patient seen yesterday evening. 57
year old woman develops an itchy rash one and a half hours after a meal. No
past history of allergy. Ambulance called and arrives 4 minutes later.
Patient has "urticaria all over" and some swelling of the lips. Pulse 133,
BP 157/83, RR 25, GCS 15, Sa O2 not recorded. Treatment is Adrenaline
1:1000 0.5ml IM. Arrives at hospital 15 mins after injection and 28
minutes after ambulance arriving on scene. Travelling time 11 minutes. She
was discharged home after 1 hour having had IM Chlorpheniramine here.
Would any of us have used adrenaline?
Are paramedics out of control?
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