title: Managing anaphylaxis in a jungle environment.
abstract: Anaphylaxis is a medical emergency requiring prompt action to prevent death from cardio-respiratory collapse. It can be a biphasic, unpredictable, and challenging reaction to deal with even in a hospital environment. The wilderness environments afforded by expeditions, remote health posts, and military exercises pose additional challenges often involving casualty evacuation. This article identifies and addresses some of these points using a case report from the Costa Rican jungle.
authors.affiliation: Wexham Park Hospital, Berkshire, United Kingdom. suzystokes@doctors.org.uk
authors.forename: Suzy
authors.initials: S
authors.lastname: Stokes
authors.forename: Sean
authors.initials: S
authors.lastname: Hudson
mesh_terms: D000316:Adrenergic alpha-Agonists / Q000627:therapeutic use*; D000328:Adult; D000707:Anaphylaxis / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D003364:Costa Rica; D004837:Epinephrine / Q000627:therapeutic use*; D005101:Expeditions; D005260:Female; D006801:Humans; D014187:Transportation of Patients; D014863:Wasps; D055814:Wilderness; D055813:Wilderness Medicine
chemical_list: D000316:Adrenergic alpha-Agonists; D004837:Epinephrine