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Whilst the vignette of the case on involuntary manslaughter brings up issues of training in team working, checking prescriptions etc. I am more intrigued by the fact that the child died of "anaphylactic shock". Unfortunately as I cannot understand German, and I cannot find any further information via online searches, I will have to rely on information via the BMJ. Surely if the child died of anaphylactic shock due to co-trimoxazole this would have occurred whatever the route of administration? Or is there other information in this case which we do not have? The results of this case, and the nuances of its ruling on anaphylaxis, may have important effects on practice in Germany and throughout Europe. I am eagerly await updates on the case from the BMJ.
No competing interests
27 July 2013
Emergency Medicine Trainee
Royal Infirmary of Edinburgh
c/o Emergency Department, Royal Infirmary of Edinburgh