ALS - Anaphylaxis/Allergic Reaction Protocol Diagram
From Paramedipedia - Ontario Paramedic Standards
- 1. If the patient has wheezing as a feature of the anaphylaxis, they should be additionally considered for the ALS - SOB/Respiratory Distress Protocol after the paramedic has administered the first dose of epinephrine.
- 2. Urticaria on its own does not constitute a severe life-threatening anaphylactic reaction. At least one other sign must be present before giving epinephrine.
- 3. Caution in patients <10 kg, or in patients with ischemic heart disease. For these patients the BHP should be contacted before a second dose is administered. If every attempt to contact the BHP has failed and the patient is not improving, a second dose may be given. The paramedic should continue to attempt to contact the BHP.
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