02 Anaphylactic Shock / Asthma / Allergic Reaction

1.                  Establish level of consciousness.

2.                  Secure and maintain airway.  Consider C-spine precautions.

3.                  Administer O2 to maintain SaO2 > 95% (90% of hx COPD)

4.                  Talk to patient and reassure to decrease anxiety.

5.                  Complete Primary Survey.  Initiate BCLS as indicated.

          Elevate lower extremities.  If sting, bite, or injection – apply ice pack to site.

6.                  CALL FOR INTERCEPT IF INDICATED.

7.                  Be ready to attach defibrillator if patient’s condition deteriorates.

8.                  Obtain Secondary Survey, History, Vital Signs.

9.                  Place in position of comfort.

10.              Contact Medical Control.

11.              Monitor Vital Signs and Condition enroute.
Epinephrine Guidelines

1.               Direct order from medical Control necessary to administer.

2.               EMT assessment that allergic reaction is life-threatening.

3.               Document specifics of administration.

4.               If indicated, administer Epinephrine as follows:

Epinephrine Indications

Severe reaction with some or all of following:                Dosage

            Facial swelling                                                     ADULT (greater than 40 lbs)

            Red skin                                                               One ADULT EPI Pen

            Hives/ Itching                                                        (0.3 mg 1:1000 epinephrine IM)

            Tightness in voice box

            Wheezing                                                             CHILDREN (less than 40 lbs)

            Low blood pressure                                              One JUNIOR EPI Pen

                                                                                          (0.15 mg 1:2000 epinephrine IM)