Читать книгу Emergency Medical Services - Группа авторов - Страница 468

Allergic reaction and anaphylaxis are frequently seen in the prehospital environment. EMS clinicians should be alert to the potential for rapid progression of allergic reactions to anaphylaxis and be prepared to hemodynamically support the patient and provide appropriate airway management. All patients with moderate or severe allergic reactions should be provided with oxygen, IV fluid administration, and continuous monitoring during transport. Clinicians should be familiar with the common medications and the dosages used to treat allergic reactions. Antihistamines and epinephrine are the mainstays of treatment. In cases of generalized allergic reaction and anaphylaxis, epinephrine administration should not be delayed. Early administration of epinephrine is critical in severe allergic reactions to prevent progression to anaphylaxis. Transport to an appropriate hospital should occur as soon as feasible.