Advertisement

Office Approach to Anaphylaxis: Sooner Better than Later

  • Stephen F. Kemp
    Correspondence
    Correspondence should be addressed to Stephen F. Kemp, MD, Associate Professor of Medicine, Division of Clinical Immunology and Allergy, Department of Medicine, The University of Mississippi Medical Center, Jackson, MS 39216.
    Affiliations
    Division of Clinical Immunology and Allergy, Department of Medicine, The University of Mississippi Medical Center, Jackson.
    Search for articles by this author

      Abstract

      Anaphylaxis, an acute and potentially lethal multisystem allergic reaction, is almost unavoidable in medical practice. Physicians must be able to recognize anaphylaxis, treat it promptly and appropriately, and provide preventive recommendations. Epinephrine, which should be administered immediately, is the drug of choice for acute anaphylaxis.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sampson H.A.
        • Muñoz-Furlong A.
        • Campbell R.L.
        • et al.
        Second symposium on the definition and management of anaphylaxis: summary report.
        J Allergy Clin Immunol. 2006; 117: 391-397
        • Kemp S.F.
        • Lockey R.F.
        Anaphylaxis: a review of causes and mechanisms.
        J Allergy Clin Immunol. 2002; 110: 341-348
        • Pumphrey R.
        Anaphylaxis: can we tell who is at risk of a fatal reaction?.
        Curr Opin Allergy Clin Immunol. 2004; 4: 285-290
        • Kounis N.G.
        Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm?.
        Int J Cardiol. 2006; 110: 7-14
        • Lieberman P.
        Biphasic anaphylactic reactions.
        Ann Allergy Asthma Immunol. 2005; 95: 217-226
        • Lieberman P.
        • Kemp S.F.
        • Oppenheimer J.
        • et al.
        • Joint Task Force on Practice Parameters
        The diagnosis and management of anaphylaxis: an updated practice parameter.
        J Allergy Clin Immunol. 2005; 115 (chief eds.): S483-S523
        • Brown S.G.A.
        • Blackman K.E.
        • Stenlake V.
        • Heddle R.J.
        Insect sting anaphylaxis: prospective evaluation of treatment with intravenous adrenaline and volume resuscitation.
        Emerg Med J. 2004; 21: 149-154
        • American Heart Association in collaboration with International Liaison Committee on Resuscitation
        2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.
        Circulation. 2005; 112: IV143-IV145
        • Soar J.
        • Deakin C.D.
        • Nolan J.P.
        • et al.
        European Resuscitation Council guidelines for resuscitation 2005.
        Resuscitation. 2005; 67: S135-S170
        • Simons F.E.R.
        First-aid treatment of anaphylaxis to food: focus on epinephrine.
        J Allergy Clin Immunol. 2004; 113: 837-844
        • Lieberman P.
        Use of epinephrine in the treatment of anaphylaxis.
        Curr Opin Allergy Clin Immunol. 2003; 3: 313-318
        • Thomas M.
        • Crawford I.
        Best evidence topic report.
        Emerg Med J. 2005; 22: 272-273