The Association of Anesthesiologists and Intensivists of Kosovo ( KSAI has published instructions on the urgent recognition and treatment of anaphylaxia in the ambulance, drawing attention to the danger posed by this severe allergic reaction.
According to the KSAI, anaphylaxia is a systemic reaction that can progress in a few minutes and emerge in family medicine centres, specialistal and dentistry.
It can occur after managing a shepherd, during a transfusion, after the vaccine, or after exposure to another allergen.
The Society points out that suspicion of anaphylaxi should arise when, after possible exposure, the swelling of the tongue or throat, sound flow, breathing difficulties, lowering oxygen saturation, lowering blood pressure, confusion, or loss of consciousness.
K SAI warns that reaction can occur even without signs in the skin, such as wisdom, purging, or frying.
As for treatment, the main instruction is the immediate management of adrenaline intramuscularly, in the anterolatric part of the thigh. For adults, the initial recommended dosage is 500 micrograms, while the dosage is determined in children according to the pediatric protocol.
If problems with breathing or circulation persist, the adrenaline should be repeated in five minutes.
In parallel with treatment, staff should call emergency numbers 112 and seek emergency transportation to the hospital. Also, the administration of the alleged grass or infusion should cease if it is still being given.
The patient must be kept in proper position and constantly monitored. According to the direction, it should not be allowed to stand or walk while oxygen is provided and, in case of mortgage or shock, intravenous fluids are administered.
The Society points out that antihistamines and cortichosteroids should not delay the giving of adrenaline, since they have no immediate effect on the treatment of anaphylaxi.
In the end, the KSAI highlights that any ambulance in which drugs or vaccines are administered should have available adrenaline and trained staff for recognition and treatment of this reaction.
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Source Layer: Signal