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.
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:
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.