title: Allergy And Anaphylaxis: Principles Of Acute Emergency Management.
abstract: Allergic reactions and anaphylaxis are potentially life-threatening processes that present with a variety of clinical symptoms. Emergency clinicians must be able to recognize these presentations and make prompt clinical decisions regarding management of a patient's airway, treatment options, and disposition of a patient who improves after initial presentation. Furthermore, emergency clinicians may be faced with patients who have atypical presentations or require special consideration, such as high-risk patients with comorbid conditions and patients who do not respond to first-line treatments. An increasing number of patients in the United States carry allergy diagnoses, and it is expected that this subset of the population will continue to seek care in the emergency department. This review assesses the research and evidence on the diagnosis, etiology, and treatment of anaphylaxis, as well as the utilization of epinephrine, both in and out of the hospital setting.
authors.affiliation: Assistant Professor of Emergency Medicine, Ichan School of Medicine, Mount Sinai Saint Luke's/Roosevelt Hospital, New York, NY.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Singer
authors.affiliation: Assistant Program Director, Emergency Medicine Residency, Hackensack University Medical and Trauma Center, Hackensack, NJ.
authors.forename: David
authors.initials: D
authors.lastname: Zodda
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D001993:Bronchodilator Agents / Q000627:therapeutic use; D002648:Child; D019091:Critical Pathways; D004636:Emergency Service, Hospital; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006633:Histamine Antagonists / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D001993:Bronchodilator Agents; D006633:Histamine Antagonists; D004837:Epinephrine