Severe Allergic Reaction Protocol & Epinephrine - - PowerPoint PPT Presentation

Severe Allergic Reaction Protocol & Epinephrine Administration

Bill Hall, MD Mesa County EMS System West End EMS System

Severe Allergic Reaction

 Known or suspected allergen exposure  Severe Reactions: (ANY OF THE FOLLOWING)

 Wheezing  Difficulty Breathing  Oral Swelling  Altered Level of Consciousness  Chest Tightness  Hypotension

Treating Reactions

 Contact Dispatch, request ALS backup  Assess reaction  If SEVERE,

 Contact Base for IM Epinephrine authorization  Oxygen  Remove Allergen

Epinephrine

 Dose:

 All ages: 0.3 mg IM 1:1000 concentration

 Frequency:

 Repeat every 10 min until SEVERE symptoms resolve  Increase to every 5 min if symptoms worsening

Ampules

Procedure

 Confirm medications are correct and not expired

Procedure

 Confirm medications are correct and not expired  Clear the ampule neck of medicine

Procedure

 Confirm medications are correct and not expired  Clear the ampule neck of medicine  Break neck using alcohol wipe

Procedure

 Confirm medications are correct and not expired  Clear the ampule neck of medicine  Break neck using alcohol wipe  Hold ampule upside down and draw up dose

Procedure

 Confirm medications are correct and not expired  Clear the ampule neck of medicine  Break neck using alcohol wipe  Hold ampule upside down and draw up dose  Clean site with alcohol wipe  Insert needle at 90˚  Pull back to check for blood  Inject Epinephrine

IM Injection Sites

The posterior gluteal site shall not be used for any IM injections! The deltoid of the upper arm is the preferred site for IM injections.

Questions/Practice

 Ampules  Needles/syringes  Alcohol swabs  Oranges