ANAPHYLACTIC REACTIONS FOR ADULTS

Treatment by First Medical Responders

1.                   An inhaled beta₂-agonist such as salbutamol may be used as an adjunctive measure if bronchospasm is severe and does not respond rapidly to other treatment.

 2.                   If profound shock judged immediately life threatening give CPR/ALS if necessary.  Consider slow IV epinephrine (adrenaline) 1:10,000 solution.  This is hazardous and is recommended only for an experienced practitioner who can also obtain IV access without delay.

 Note the different strength of epinephrine (adrenaline) that may be required for IV use.

 3.                   A crystalloid may be safer than a colloid.²⁶

 Guidelines from the Resuscitation Council (UK) “The Emergency Medical Treatment of Anaphylactic Reactions"