pediatric anaphylaxis scenario

DISPATCH . PRIMARY ASSESSMENT. Kirk H. Waibel, MD* 1. Scenarios Scenario 1 Pediatric Respiratory Management Scenario 2 Anaphylaxis with SCIT Hypotension Scenario 3 Anaphylaxis in a Patient Taking a Beta-blocker Go Back NOI: Difficulty Breathing . Call type: Dispatched to the local baseball fields for a male complaining of shortness of breath . However, abnormal changes in anaphylaxis may be noted as per Gikas (2005) “Acute ST-elevation MI is a rare but potential complication of anaphylactic reactions, even in young adults with normal coronary arteries.” The physiological process of anaphylaxis involves the release of many chemical mediators in the blood stream. A 180 lb man should NOT be getting only 0.3mg IM. 2. Case Study: Insect-Stings and Pediatric Anaphylaxis A 12-year-old boy is brought to the emergency department after being stung by a bee. SCENE SIZE-UP Scene safety: Safe . EMT Scenario: M002. Death immediately occurs after the contact with the trigger if anaphylaxis is fatal, called anaphylactic shock. state, the Kansas Pediatric Scenario Guidebook was developed. List the most common causes of anaphylaxis. Patients experiencing anaphylaxis can present with cutaneous, respiratory, cardiovascular or gastrointestinal manifestations. This resource will walk your providers through a scenario containing vital signs, pertinent patient and call information, graphics, considerations and links for additional educational opportunities surrounding that call type. He initially complained of localized pain and swelling. 4. 1. The plastic sheet could be easily inserted beneath the skin of the mannequin, thus any of the adult and pediatric mannequins could be used for training. Number of patients: 1 . Impression: Middle aged male Epinephrine given intramuscularly remains the mainstay of treatment for this condition. The hope Anaphylaxis is highly likely when ONE of the following 3 criteria are fulfilled within minutes to 2-3 hours following possible allergen exposure; CRITERIA 1: Acute onset of an illness with involvement of the skin, mucosal tissue, or both (e.g., generalized hives, pruritus or flushing, swollen lip-tongue-uvula) Food anaphylaxis is now the leading known cause of anaphylactic reactions treated in emergency departments in the United States. *Chief, Allergy/Immunology Service, Brooke Army Medical Center, Fort Sam Houston, Tex After completing this article, readers should be able to: 1. Time and weather: 1045, clear and sunny . Gen. Typically, during the scenario, the staff would respond to a patient with a pronounced massive anaphylaxis with signs of stridor, wheeze, deteriorating oxygen saturations, and circulatory collapse. He had been well until he was stung on his right forearm, while playing in the yard. 3. From a case-series, fatal food reactions cause respiratory arrest typically after 30-35 min; insect stings cause collapse from shock after 10-15 min; and deaths caused by intravenous medication occur most commonly within 5 min. Required BSI: Standard Precautions . The correct dose of epinephrine for the treatment of anaphylaxis is 0.01mg/kg (to a max of 0.5mg) IM, repeated after 5 mins if there’s no clinical improvement.It is common practice to under-dose epinephrine in this setting. Fifteen minutes later, he began to complain of shortness of breath. Anaphylaxis is a severe, acute and potentially life-threatening condition, often in response to an allergen. It is estimated that there are 30 000 anaphylactic reactions to foods treated in emergency departments and 150 to 200 deaths each year. Peanuts, tree nuts, fish, and shellfish account for most severe food anaphylactic reactions. Delineate the diagnostic criteria for anaphylaxis. Describe the different types of insect sting reactions.

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