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Download ALS course slide set - the Australian Resuscitation Council
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Special Circumstances Workshop Anaphylaxis Learning outcomes By the end of this session the candidate will: • Understand the approach to the patient with anaphylaxis • Recognise the signs and symptoms of anaphylaxis • Know how to manage the patient with anaphylaxis • Understand the role of IM adrenaline • Understand the potential complications of IV adrenaline and the indications for its use Possible antigens • Food products • Nuts • Red fruits • Shellfish • Insect envenomation • Animal hair/mites • Medications • • • • Muscle relaxants Antibiotics NSAIDS/Aspirin Anti-venom • Colloid infusions • Blood transfusion • Contrast dyes Risk of death increased with pre-existing asthma or delayed treatment Case study Clinical setting and history • An American tourist has walked in to your hospital after having had a curry at a local restaurant. Despite asking for a meal with no nuts, he is sure that he could taste some in the curry. He claims to have a “nut allergy” and he feels a bit tight-chested. On examination, there is little abnormal to find apart from a slightly increased respiratory rate. Clinical course • ABCDE - A : Clear B : RR 18 min-1 C : P 90 min-1, BP 110/60 mmHg D : Alert, anxious E : Normal What will you do now? Case study (continued) Clinical course • Over the next 10 min, he becomes very short of breath, has widespread wheeze, develops an urticarial rash, and feels light headed. • ABCDE - A : Complains of tightness in throat - B : RR 28 min-1, widespread wheeze - C : P 120 min-1, BP 80/60 mmHg - D : Very anxious - E : Widespread urticaria What will you do now? Any questions? Advanced Life Support Course Slide set All rights reserved © Australian Resuscitation Council and Resuscitation Council (UK) 2010
