Emergency Medical Training Services
Pre-Hospital * Hospital * Community

Allergic Reaction
 

Home

Allergic Reaction                                                                                                  Updated January 2012

Signs and symptoms: Mild reaction normal vitals with urticaria (hives), itching.  Moderate reaction is mild reaction plus respiratory compromise.  Severe reaction (anaphylaxis) has mild and moderate and now circulatory collapse.

1.    Ensure scene is safe from bees, wasps, etc... Move patient to safety.

2.    Evaluate responsive, airway, breathing, circulation.

bulletIf pulseless and apneic go to AED protocol and/or  CPR Chart Protocol.
bulletIf breathing difficulty if present go to General SOB protocol to maintain airway if needed then return to this protocol.

3.    If breathing is adequate, place patient on a non-rebreather at  minimum care.  Even if patient is only showing signs of a mild reaction.  Due to potential of rapid deterioration be ahead of the game, place on oxygen.

4.    IF PATIENT HAS PRESCRIBED EPI-PEN auto-injector AND THE CLINICAL SIGNS INDICATE POSSIBLE BENEFIT FROM ITS USE:

bulletALWAYS CONSULT MEDICAL CONTROL FIRST.
bulletFacilitate administration of EPI-PEN.
bulletIndications (meets all of the following): Exhibits signs and symptoms of late moderate to severe allergic reaction emergency. Has physician prescribed EPI-PEN.  Specific authority by medical direction.
bulletContraindications: None in emergency unless no permission from medical direction or patient already met maximum dose.
bulletSide effects: Increased pulse rate, hypertension, anxiety, dizziness, headache, nausea and vomiting.
bulletNote: Wait 2-3 minutes then reassess.  Benefits should begin to be seen within 2 minutes.
bulletNote: One dose may only last for 20 minutes.  Prepare for transport and the need for additional doses.
bulletEpinephrine Adult  0.3mg greater than 66 pounds.  Epinephrine Child 0.15mg up to 66 pounds.

5.    Consider calling for ALS.

6.    Expedite transport.

7.    Perform an ongoing assessment every 5 minutes.

8.    Never underestimate the severity of an allergic reaction.


Copyright 2013 Emergency Medical Training Services
Last modified: 3/15/2014