Acute onset respiratory distress, emesis, urticaria

Treatment

• Diphenhydramine
• Epi Pen
• Vital sign monitoring

Disposition

• Transported to local hospital for further evaluation

Authors:

David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center

Editors:

David Tauber, EMT Editorial Board
David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center

Diagnosis

• Anaphylaxis
• Allergic reaction

Differential Diagnosis

• Urticaria
• Allergic reaction
• Anaphylaxis
• Insect sting
• Esophageal or tracheal foreign body

Patient Workup

• Close observation of patient
• Evaluate vital signs

Editor’s Notes

“Using the pediatric assessment triangle (see below) the first doorway assessment is good news: the child is conscious, alert and interactive, with good muscle tone, although a little pale and wheezy generally but not shock. There were no retractions or nasal flaring. Nice turn over report. Turn over reports has been shown to be a great risk for pt safety if handled poorly. Calm scene. I would like to hear the child’s weight and or Broselow color. Dad could give a little blow by O2 if the SPO2 was below 92%. Overall what we saw was nicely handled.”

– From ReelDx EMS Editor Dave Tauber, Paramedic Program Director – Yale New Haven Sponsor Hospital.

Suggested References

Anaphylaxis

Patient

• Gender: Male
• Age: 1 year
• Height: Not Available
• Weight: Not Available

Vitals

• Temperature: Not Available
• Blood Pressure: Not Available
• Heart Rate: Not Available
• Respiratory Rate: Not Available
• Pulse Oximetry: Not Available

Signs and Symptoms

Hives, emesis, respiratory distress reported by parents.

History Medical

• Previous allergic reaction to milk products.

Medications

• Epi-Pen Junior

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