Practice
Anaphylaxis in the acute care setting
Victoria E. Cook and Edmond S. Chan
CMAJ June 10, 2014 186 (9) 694; DOI: https://doi.org/10.1503/cmaj.131130
Victoria E. Cook
Department of Pediatrics (Cook, Chan) and Division of Allergy and Immunology (Chan), University of British Columbia, Vancouver, BC
MDEdmond S. Chan
Department of Pediatrics (Cook, Chan) and Division of Allergy and Immunology (Chan), University of British Columbia, Vancouver, BC
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Anaphylaxis in the acute care setting
Victoria E. Cook, Edmond S. Chan
CMAJ Jun 2014, 186 (9) 694; DOI: 10.1503/cmaj.131130
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- Anaphylaxis is a relatively common life-threatening condition
- Antihistamines and corticosteroids have limited usefulness in the management of acute anaphylaxis
- Patients should be monitored for four to eight hours in the emergency department
- Fixed-dose epinephrine autoinjectors do not allow flexible weight-based (0.01 mg/kg) dosing in children
- Patients treated in the emergency department should receive an autoinjector, patient education and a referral for follow-up
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