Category Archives: Moderate to Severe Allergic Reaction

Question: This question is regarding a cardiac arrest from anaphylaxis. If epi is given and the patient has no ROSC, arrest is unwitnessed, and by the 3rd analysis no shock is given, is it acceptable to patch for TOR, or is the TOR contraindicated due to the arrest being of non-cardiac origin?

Question: I was wondering if there was a reason that, according to the standing orders, if you want to give a patient under 25 kg Gravol you can call the BHP for an order but there is no stipulation for giving Benadryl to a patient under 25 kg's. Is this on purpose? It suggests to me I should not consider calling the BHP for an order for Benadryl for an under 25 kg pt. Is this correct?

Question: In the event of a VSA where Anaphylaxis is the suspected cause, when would be the most ideal time to administer Epinephrine IM? I'm assuming we would start with CPR, attach PADS, Analyze, then Epi. Would this be a safe assumption?

Question: Does a patient that suffered from hanging, electrocution, and/or drowning fall under medical tor protocol? Also, if a patient is suffering from anaphylaxis and airway is completely obstructed and you had analyzed once and transported as per FB protocol if on route airway becomes relieved and you have good compliance do you pull over and start your medical cardiac arrest protocol? If first analyze on scene was no shock and you do pull over and have two more no shocks does it fall under a medical tor protocol?

Question: Can you administer diphenhydramine to a patient that is in moderated to severe allergic reaction? The old directive was clear on this, which was allowable. The current directive leaves medics guessing treatment intervention. Epinephrine is indicated as a first round drug for anaphylaxis, which is understandable.

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