If it is thought that the patient is developing anaphylaxis, then epinephrine should be given as quickly as possible, unless the patient has a primary diagnosis that contraindicates epinephrine. Angioedema, swelling of the face, mouth and airway, is often a major component of systemic allergic reactions and airway management is often a priority. Early endotracheal intubation may be necessary before the airway becomes so swollen that intubation is difficult or even impossible. Anaphylaxis can, and does, progress into cardiac arrest. Its management is the same as for cardiac arrest from any other causes.
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He has 20 years experience as a volunteer fire and EMS provider on Long Island. Arnold earned his MS degree in Biological Chemistry from the University of Michigan and did both basic and applied research before making EMS his full-time carrier. Arnold lives with his wife on Long Island, in Holtsville. Readers are reminded to consult with local laws, medical control, regulations, and protocols before adopting procedures described above. All Rights Reserved.