Article Text

Download PDFPDF
Update on the emergency medical treatment of anaphylactic reactions for first medical responders and for community nurses
  1. Project Team of The Resuscitation Council (UK)
  1. Correspondence to: Professor D Chamberlain, 25 Woodland Drive, Hove, East Sussex BN3 6DH, UK (chambda{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Consensus guidelines on the emergency treatment of anaphylactic reactions were published in 1999 in the Journal of Accident and Emergency Medicine,1 and in Resuscitation.2 These guidelines were intended for first medical responders, and more specifically those without expert knowledge or specialist interest. In general they have been well received.

After the publications, we received a large number of letters from community nurses. They explained that adherence to the new guidelines was difficult in their situation because they did not have access to the drugs that were mentioned, apart from adrenaline (epinephrine). Moreover, many were troubled by the recommendations for children's doses that included a suggestion of using the twofold dilution for the lowest dose.

The British National Formulary also offers advice on anaphylaxis, and there was some concern on all sides that the doses of adrenaline (epinephrine) were different in the British National Formulary from those given in the consensus guidelines.

In order to resolve both of these problems, a meeting was held between representatives of the Project Team, of the British National Formulary, and of the Department of Health (representing the interests of community nurses).

The meeting was wholly successful, and as a result we have made some very small changes in the first medical responder document to the doses of adrenaline (epinephrine) for children, and we have also taken the opportunity of modifying the age brackets …

View Full Text