A case of unrecognized prehospital anaphylactic shock.
Abstract A case of prehospital anaphylactic shock that presented atypically, without a known exposure, is discussed. Anaphylaxis is a potentially life-threatening allergic reaction that requires prompt recognition and aggressive treatment. While there is little diagnostic dilemma (specifically used in the conclusion section of this paper) in the recognition and management of "classic" presentations of anaphylaxis there is likely a need for further education of prehospital providers, as well as emergency physicians, on how to recognize atypical cases of anaphylaxis. These cases can be equally severe, with potentially fatal consequences if missed. The diagnosis and management of anaphylaxis are reviewed, as well as barriers that providers encounter in diagnosing uncommon presentations.
Jacobsen
Ryan C
RC
Emergency Department, Truman Medical Center, Kansas City, Missouri, USA. ryan.jacobsen@tmcmed.org
Gratton
Matthew C
MC
D000328:Adult; D022561:Advanced Cardiac Life Support; D000707:Anaphylaxis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003951:Diagnostic Errors; D004155:Diphenhydramine / Q000627:therapeutic use; D004632:Emergency Medical Services / Q000379:methods*; D004837:Epinephrine / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D011329:Prisoners; D011330:Prisons; D011899:Ranitidine / Q000627:therapeutic use; D013566:Sympathomimetics / Q000627:therapeutic use
D005938:Glucocorticoids; D006634:Histamine H1 Antagonists; D006635:Histamine H2 Antagonists; D013566:Sympathomimetics; D011899:Ranitidine; D004155:Diphenhydramine; D008775:Methylprednisolone; D004837:Epinephrine