Pediatric Anaphylaxis Study Lacks Crucial Details

The Research Carrillo E, Hern HG, Barger J. Prehospital administration of epinephrine in pediatric anaphylaxis. Prehosp Emerg Care. 2016;20(2):239–244. The Science To assess the rates of administration of epinephrine, diphenhydramine (Benadryl) and albuterol to children with allergic reactions including anaphylaxis, the authors reviewed the EMS records of Contra Costa County and Alameda County in California from January 2010 to July 2011. Combined, the two counties serve a population of about 2.3 million people. Of the slightly more than 239,000 patient contacts and 13,000 pediatric transports, paramedics treated 205 pediatric patients with allergic complaints; 98 of these cases had signs and symptoms consistent with anaphylaxis and therefore would be candidates to the administration of epinephrine. However, only 53 (54%) were given epinephrine either by EMS or prior to the arrival of EMS. Of those not given epinephrine prior to EMS arrival, only six (12%) received epinephrine by EMS, 10 (20%) received only diphenhydramine, nine (18%) received only albuterol, and 17 (33%) received both albuterol and diphenhydramine. Nine (18%) of the patients received no treatment prior to hospital arrival. Patients with a history of anaphylaxis were more likely to receive epinephrine than those without a history (45% vs. 5%, respectively). Medic Wesley Comments I read this study twice to be sure that I hadn't missed the ultimate goal of patient outcomes. It wasn't there.
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Columns Patient Care Source Type: news

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Source: Journal of Functional Foods - Category: Nutrition Source Type: research
Publication date: Available online 24 May 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Gabriel Gastaminza, Miguel Ruiz-Canela, Blanca Andrés-López, María J. Barasona Villarejo, Rosario Cabañas, Ignacio García-Núñez, María José Goikoetxea, José Julio Laguna, Teófilo Lobera, Marta López-San Martín, Joaquín Martín-Lázaro, Ruth Mielgo-Ballesteros, Esther Moreno, María del Carmen Moya-Quesada, Nancy Ortega-Rodríguez, Patricia Rojas-Perez-Ezquerra, Ana Rosado, Mar&iacu...
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research
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PMID: 31228627 [PubMed - as supplied by publisher]
Source: Annals of Allergy, Asthma and Immunology - Category: Allergy & Immunology Authors: Tags: Ann Allergy Asthma Immunol Source Type: research
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