Treatment of acute anaphylaxis

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7031.637c (Published 09 March 1996) Cite this as: BMJ 1996;312:637

Letters contained errors of logic

  1. Malcolm Fisher
  1. Head, intensive therapy unit Royal North Shore Hospital, St Leonards, NSW, Australia

    EDITOR,—The letters1 about my article on acute anaphylaxis2 show the difficulties of trying to provide simple algorithms when controlled trials are impossible and the pattern of symptoms and severity vary. Some of the replies contain errors of logic.

    Glenis K Scadding emphasises the use of tourniquets to avoid further contact with the allergen. Such use is not supported by data and may be hazardous as release of arterial tourniquets produces reactive hyperaemia, and catastrophic release of antigen into …

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