Friday, March 19, 2021

Anaphylaxis Management

EM Ottawa - By Alex Coutin - March 18, 2021
...”Within the last year, 2 major anaphylaxis organizations – the Canadian Society of Allergy and Clinical Immunology (CSACI) and the World Allergy Organization (WAO) – updated their anaphylaxis guidelines with the most up-to-date evidence, even proposing new, simpler diagnostic criteria.
There are 4 take home points from this post:
  1. The World Allergy Organization has developed new anaphylaxis diagnostic criteria.
  2. There is little to no evidence to support the routine administration of steroids in the acute phase of anaphylaxis, nor in the mitigation or prevention of biphasic reactions.
  3. Antihistamines should never come before, delay or replace the administration of epinephrine for anaphylaxis.
  4. In patients with high-risk features, extended observation (≥6h) is reasonable. In patients without high-risk features, early discharge may be appropriate (<2h)...”