Anaphylaxis Algorithm

Anaphylaxis is a severe, life-threatening , generalised or systemic hypersensitivity reaction (Resuscitation Council UK )

ANAPHYLACTIC REACTION

Airway Breathing Circulation Disability Exposure

Diagnosis → look for Acute onset of illness Life threatening Airway and / or Breathingand / or circulation problems* And usually skin changes

Life threatening problems* Airway → swelling , hoarseness , stridor Breathing → rapid breathing , wheeze , fatigue , cyanosis , SpO2 < 92 % , confusion Circulation → pale , clammy , low BP , faintness , drowsy / coma

Call for help Lie patient flat Raise patients leg

ADRENALINE

AFDRENALINE → GIVE IM Unless experienced with IV

IM doses of 1 : 1000 Adrenaline( Repeat after 5 mins if no better ) Adult → 500 micrograms IM ( 0.5 ml ) Child > 12 yrs → 500 micrograms IM ( 0.5 ml ) Child 6-12 yrs → 300 micrograms ( 0.3 ml ) Child < 6 yrs → 150 micrograms ( 0.15 ml )

Adrenaline IV to be given only by experienced specialists Titrate : Adults 50 micrograms ; Children 1 micrograms / kg

IV fluid Challenge

Adult → 500 - 1000 mL Child → crystalloid 20 mL / kg Stop IV colloid...