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Clinical consideration

Оглавление

Both hydrocortisone and adrenaline 1:100 have anaphylaxis listed as an indication in their chapters in the Medicines section (section 7). However, the Allergic Reactions Including Anaphylaxis chapter, in the Medical Emergencies section (section 3), should be referred to for more information about where these drugs fit into the management plan for such patients.

Table 2.1 Examples of emergency conditions covered in section 3.

Acute coronary syndrome Hyperventilation syndrome
Abdominal pain Hypothermia
Allergic reactions (including anaphylaxis) Implantable cardiovascular defibrillator
Altered levels of consciousness Management of resuscitation of patients with left ventricular assist devices
Asthma in adults and children Meningococcal meningitis and septicaemia
Cardiac rhythm disturbances Mental health presentations
Chronic pulmonary disease Mental Capacity Act
Convulsions in adults Respiratory illness in children
Convulsions in children Sickle cell crisis
Dyspnoea Sepsis
Febrile illness in children Stroke/transient ischaemic attack
Gastrointestinal bleeding Traumatic chest pain
Glycaemic emergencies in adults and children Overdose and poisoning in adults and children
Headache Paediatric gastroenteritis
Heart failure Pulmonary embolism
Heat‐related illness

Paramedics need to be aware that just referring to the indications in the Medicines section (section 7) may not give full information about where a drug fits into an ambulance service protocol for management of a certain patient condition, and so the JRCALC guidance in the Medical Emergencies section (section 3) should always be referred to alongside the Medicines section in order to ensure best approach and correct patient management.

Fundamentals of Pharmacology for Paramedics

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