Abstract:
BACKGROUND:Anaphylaxis is a life threatening reaction where prompt and appropriate management can save lives. Epinephrine (adrenaline) is the treatment of choice; however, the recommended dose and route of administration of epinephrine used in the management of anaphylaxis is different from that used in the management of cardiac arrest. OBJECTIVE:To investigate how junior doctors would administer epinephrine in a case of anaphylactic shock in an adult patient. METHODS:Junior medical staff in two district general hospitals were assessed with a short questionnaire. RESULTS:95 junior hospital doctors were assessed. The majority (94%) would administer epinephrine as the life saving drug of choice, but only 16.8% would administer it as recommended by the UK Resuscitation Council Guidelines. CONCLUSION:Junior doctors may be called to make immediate management decisions in patients with anaphylaxis; however, widespread confusion exists regarding the dose and route of administration of epinephrine. Strategies to improve education and access to appropriate drugs are needed. A labelled "anaphylaxis box" on every resuscitation trolley, containing the dose of epinephrine with clear labelling for intramuscular use, may be one solution.
journal_name
Postgrad Med Jjournal_title
Postgraduate medical journalauthors
Jose R,Clesham GJdoi
10.1136/pgmj.2007.059097subject
Has Abstractpub_date
2007-09-01 00:00:00pages
610-1issue
983eissn
0032-5473issn
1469-0756pii
83/983/610journal_volume
83pub_type
杂志文章abstract:BACKGROUND:Patients with irreversible chronic kidney disease who require dialysis immediately are a subset of ultra late referrals for whom the term chronic kidney disease presenting acutely might usefully be applied. Although well known to nephrologists and recognised as a specific group with considerable problems, li...
journal_title:Postgraduate medical journal
pub_type: 杂志文章
doi:10.1136/pgmj.2009.078956
更新日期:2010-07-01 00:00:00
abstract:PURPOSE:Large population studies now demonstrate that frailty is prevalent in all adult age groups. Limited data exist on the association between frailty and surgical outcome in younger patients. The aim of the study was to explore the agreement between frailty identification tools and collect pilot data on their predi...
journal_title:Postgraduate medical journal
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journal_title:Postgraduate medical journal
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pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
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更新日期:1991-05-01 00:00:00
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journal_title:Postgraduate medical journal
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doi:10.1136/pgmj.63.745.1001
更新日期:1987-11-01 00:00:00
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更新日期:2007-04-01 00:00:00
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更新日期:2008-12-01 00:00:00
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doi:
更新日期:1991-01-01 00:00:00
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doi:10.1136/pgmj.56.661.773
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doi:10.1136/pgmj.2008.075531
更新日期:2009-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-03-01 00:00:00
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更新日期:1983-01-01 00:00:00
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更新日期:1983-05-01 00:00:00
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