Here are some FOAMed highlights from recent weeks.
This review post covers the key background, management and disposition options. The key take home points are:
- Rapid recognition is critical. If the patient has compromise to airway, breathing or circulation in the setting of an allergen exposure, anaphylaxis is extremely likely.
- The most important step in management of anaphylaxis is early administration of epinephrine. Epinephrine is life-saving.
- Airway edema can occur rapidly making intubation difficult and a surgical airway necessary. Intubate early if you suspect considerable airway compromise
- Prior to discharge, ensure that patients have access to epinephrine auto- injectors and know how to use them
This is a great review of current guidelines and thinking in the management of VT. There is a good literature review comparing the varying pharmacological management strategies.