BMJ 1995;311:731-733 (16 September)
Education and debate
Fortnightly Review: Treatment of acute anaphylaxis
Malcolm Fisher,
head aa Intensive Therapy Unit, Royal North Shore Hospital, St Leonards, New South Wales 2065, Australia
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Summary points
- Adrenaline is the treatment of choice for clinical anaphylaxis
- Volume replacement is indicated in anaphylactic cardiovascular collapse
- Follow up, diagnosis, and detailed communications are essential in preventing second reactions
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Treatment of acute anaphylaxis
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Remove the patient from contact with the allergen
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Luke, L C
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311: 1434-1434
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Campbell, S.
(1995). Expressing the dose of adrenaline in milligrams is easier. BMJ
311: 1435-1435
[Full text]
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Finlay, F., Simpson, N.
(1995). Teachers need to know the basics too. BMJ
311: 1436-1436
[Full text]
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Scadding, G. K
(1995). Remove the patient from contact with the allergen. BMJ
311: 1434a-1434
[Full text]
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Hourihane, J. O'B, Warner, J. O
(1995). Benign allergic reactions should not be treated with adrenaline. BMJ
311: 1434b-1434
[Full text]
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Alexander, R, Pappachan, J, Smith, G B, Taylor, B L
(1995). Avoid subcutaneous or intramuscular adrenaline. BMJ
311: 1434c-1435
[Full text]
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Clear, J., Yeoh, M., Cockroft, S.
(1995). Treatment takes precedence over monitoring. BMJ
311: 1435a-1435
[Full text]
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Robinson, S M
(1995). Investigations help to confirm diagnosis. BMJ
311: 1435b-1435
[Full text]
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Stuart, J.
(1995). Chart helps with calculation of dose of adrenaline for children. BMJ
311: 1435c-1436
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