Survey of the use of epinephrine (adrenaline) for anaphylaxis by junior hospital doctors.

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 J

authors

Jose R,Clesham GJ

doi

10.1136/pgmj.2007.059097

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

610-1

issue

983

eissn

0032-5473

issn

1469-0756

pii

83/983/610

journal_volume

83

pub_type

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