<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Anaphylactic shock became, unfortunately, a common presence in Romanian mass-media, due to some fatal cases in the last months. The coincidence that in December 2014 the American Academy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology, and the Joint Council of Allergy Asthma and Immunology released Practice parameters offers a good opportunity to renew for all practitioners what is now considered the “golden standard” of good practice.</p><p><bold>Epinephrine must be considered the cornerstone and the most urgent measure to be applied in these cases, immediately after the diagnosis. A very important notice is to forget the administration of antihistamines or corticosteroids as first line therapy instead of epinephrine. Proper positioning of the subjects and quick fluid replacement (1-2 l of normal saline in a few minutes) are also mandatory.</bold></p></abstract>

Anaphylactic shock became, unfortunately, a common presence in Romanian mass-media, due to some fatal cases in the last months. The coincidence that in December 2014 the American Academy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology, and the Joint Council of Allergy Asthma and Immunology released Practice parameters offers a good opportunity to renew for all practitioners what is now considered the “golden standard” of good practice.Epinephrine must be considered the cornerstone and the most urgent measure to be applied in these cases, immediately after the diagnosis. A very important notice is to forget the administration of antihistamines or corticosteroids as first line therapy instead of epinephrine. Proper positioning of the subjects and quick fluid replacement (1-2 l of normal saline in a few minutes) are also mandatory.

Anaphylactic shock: are we doing enough and with the right timing and order?

Medical Clinic, Clinical Emergency Hospital Ilfov County, “Carol Davila” University and Medicine, Bucharest

Medical and Cardiology Clinic, “Colţea” Clinical Hospital, “Carol Davila” University and Medicine, Bucharest

Romanian Journal of Internal Medicine

This chapter is distributed under the terms of the Creative Commons Attribution 4.0 Public License.

{"article-title":"Anaphylactic shock: are we doing enough and with the right timing and order?"}

Anaphylactic shock became, unfortunately, a common presence in Romanian mass-media, due to some fatal cases in the last months. The coincidence that in...

Anaphylactic shock: are we doing enough and with the right timing and order?

Published Online: Oct 14, 2015

Page range: 191 - 198

Received: Jan 15, 2015

DOI: https://doi.org/10.1515/rjim-2015-0026

Keywords
anaphylaxis, epinephrine, proper positioning, biphasic/recurrent anaphylaxis, prophylactic measures

© 2015 H. Bălan et al., published by De Gruyter Open

This chapter is distributed under the terms of the Creative Commons Attribution 4.0 Public License.

Anaphylactic shock: are we doing enough and with the right timing and order?

Published Online: Oct 14, 2015

Page range: 191 - 198

Received: Jan 15, 2015

DOI: https://doi.org/10.1515/rjim-2015-0026

Keywordsanaphylaxis, epinephrine, proper positioning, biphasic/recurrent anaphylaxis, prophylactic measures

© 2015 H. Bălan et al., published by De Gruyter Open

This chapter is distributed under the terms of the Creative Commons Attribution 4.0 Public License.

Keywords
anaphylaxis, epinephrine, proper positioning, biphasic/recurrent anaphylaxis, prophylactic measures