You are working as a double Technician crew on an EA when you are called to a 26-year-old male park runner who has reportedly been stung by a wasp and is having an allergic reaction. You arrive at scene and the patient is sat on the floor, there is significant swelling around the face and neck with hives and reddening of the skin. You note a very audible stridor. The patient seems in significant distress and is struggling to get any air in.
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Given the information above, what type of allergic reaction would you class this
Is removing the anaphylaxis trigger/source an important early action if possible
As you approach the patient, you note a large swelling on his arm and what looks like a stinger implanted in the skin. You gently manage to scrape it off as your colleague contacts control requesting further backup. Given the history above, what deficit on the primary survey requires immediate attention
You can hear the stridor clearly and there is a tint of cyanosis in his face, what IM drug is required as a first-line treatment in order to reverse the allergic manifestation of anaphylaxis
You get out the IM kit and start drawing up IM Adrenaline 1:1000. Your colleague goes to administer 100% O2, is it recommended in this case
What dose of IM Adrenaline 1:1000 is given to an adult in an Anaphylaxis situation
What is the time interval between IM dosages
As you have given the IM Adrenaline 1:1000 and have prepared the next for the following dose interval. You note that the patient is less cyanosed. Your colleague starts completing observations on the patient while you continue to assess the primary survey. You are aware of the Airway issue and are reversing through the administration of Adrenaline. You assess the patients’ breathing and note bilateral wheezes. Can any further treatment be given to assist with this
What medication can you give
As you set up the nebuliser, your colleague comes back with a number of observations: RR 29, HR 123, BP 102/68, Temp 35.8, Blood Sugar 6.3. You are at the time interval for the second dose of IM Adrenaline 1:1000. The patients’ stridor has reduced somewhat and he seems to be breathing easier than at the beginning. There is still a lot of swelling around his face and mouth. Do you administer the second dose of Adrenaline 1:1000
As you give the second dose, an RRV Paramedic arrives on scene. All together you get the patient onto a stretcher and into the Ambulance. The Paramedic cannulates the patient looking to give further medications and some potential fluids. He is at another time interval for Adrenaline 1:1000. Is it recommended to give it IV now access has been gained