Treatment of acute anaphylaxis

doi:10.1136/bmj.311.7017.1434

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L C Luke

Consultant in accident and emergency medicine Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool L7 8XP

Surviving the journey is a good prognostic indicator

EDITOR,--Malcolm Fisher's article on acute anaphylaxis was prompted by an anecdote concerning a doctor's panic when his young daughter developed an acute allergic reaction.1 The father ended up “ranting and raving” in the emergency department because his daughter had not received adrenaline immediately. Fisher uses this scenario to underline the need for the rapid administration of adrenaline in anaphylaxis. Nevertheless, he freely admits that, with the protean …