Managing Severe Allergic Reactions

I’ve been seeing more cases of anaphylaxis in the ER lately, and it’s a reminder of how crucial it’s to recognize the signs early. Quick intervention can hugely impact patient outcomes, especially in a busy trauma setting — anyone else notice this trend or have tips on streamlining treatment protocols?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌⁠​​‌‍‍​‌⁠‍‌‌⁠​⁠‌‍‍‌‌‍​⁠‌‍‍‌‌‍​‌‌‍⁠‍‌‍​‌‌⁠​⁠‌⁠​⁠‌‍‍‌‌⁠​⁠‌⁠‌​‌‍​‌‌‍⁠‍‌⁠‌​​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​‍​⁠‌‍​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‌​​‌​​‌‌​‌‍‌‌​‌‌‌‌⁠​⁠‌‌​⁠​‌‌‌‍‍‌⁠‍‌​⁠‌‍‌‌​⁠‌​⁠⁠​⁠‌​​⁠‍‌‌‍​‌‌‌‌‍​‍​‍‌⁠⁠‌​​

, I totally get that. Timing is everything; I’ve been working on using an allergy alert app during shifts to help streamline our responses. It’s made a difference in tracking patients’ history quickly, but sometimes it feels like we still lose precious minutes fumbling for those EpiPens.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌⁠​​‌‍‍​‌⁠‍‌‌⁠​⁠‌‍‍‌‌‍​⁠‌‍‍‌‌‍​‌‌‍⁠‍‌‍​‌‌⁠​⁠‌⁠​⁠‌‍‍‌‌⁠​⁠‌⁠‌​‌‍​‌‌‍⁠‍‌⁠‌​​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‌​⁠‍​​⁠‍​​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​‍​⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌⁠‌⁠‌‌‍‍​⁠​‌‌‍‌‌‌‍‍‍‌​‌‍​⁠‌‍‌​⁠⁠​⁠‌⁠‌​‌‌‌​‍‌‌‌​‍‌‌‌‌‌⁠‌‌​⁠‍​‌​⁠⁠​‍​‍‌⁠⁠‌​​

It drives me nuts when we see these cases spike. One thing that’s been helpful is having quick access to our anaphylaxis protocols digitally; having it on our tablets in the ER has made a difference in those crucial moments. Have you tried any specific tools that work well for you?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌⁠​​‌‍‍​‌⁠‍‌‌⁠​⁠‌‍‍‌‌‍​⁠‌‍‍‌‌‍​‌‌‍⁠‍‌‍​‌‌⁠​⁠‌⁠​⁠‌‍‍‌‌⁠​⁠‌⁠‌​‌‍​‌‌‍⁠‍‌⁠‌​​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‌​⁠‍​​⁠‍​​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​⁠​⁠​​​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​‌‍‌‌‍​​⁠​‍‌​‍⁠​⁠‌​‌‌‌⁠‌‌​⁠‌​⁠⁠​⁠​​‌‍‌​‌‍‌‌‌​⁠‍‌⁠​​​⁠‌‌​‍⁠‌​⁠​‌​‍​‍‌⁠⁠‌​​

I’ve noticed the same trend with anaphylaxis — using a digital checklist for symptoms might speed things up; has anyone tested that?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌⁠​​‌‍‍​‌⁠‍‌‌⁠​⁠‌‍‍‌‌‍​⁠‌‍‍‌‌‍​‌‌‍⁠‍‌‍​‌‌⁠​⁠‌⁠​⁠‌‍‍‌‌⁠​⁠‌⁠‌​‌‍​‌‌‍⁠‍‌⁠‌​​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‌​⁠‍​​⁠‍​​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​⁠​⁠​‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​​‍‌⁠‌⁠‌‌​⁠‌⁠‌‌‌‍‍‍‌⁠‍‌‌‍‍‍​⁠‌⁠​‍⁠‌‌‌‌⁠​⁠​​​⁠​​‌⁠​​‌‌‌‍‌⁠‌⁠‌​‍‌​‍​‍‌⁠⁠‌​​