Subcutaneous epinephrine in the prehospital setting

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
B SafdarK T Pham

Abstract

To outline current practice regarding the prehospital use of subcutaneous epinephrine, and systematically review the existing literature to determine the level of support for its use in the elderly. Many health care personnel are reluctant to administer subcutaneous epinephrine for potentially life-threatening conditions such as asthma and anaphylaxis in older patients. This sytematic review examined the following focused question: "For older patients not known to have coronary artery disease, does administration of subcutaneous epinephrine carry a significant enough risk of cardiovascular side effects to mandate age as a relative contraindication to self-administration or emergency medical services administration in the prehospital setting?" The MEDLINE and Health Star databases were searched to identify studies evaluating the use of subcutaneous epinephrine in the treatment of asthma and anaphylaxis. Bibliographies from included studies, known reviews, and textbooks were examined to identify additional studies. The strength of evidence presented in each study was assessed in accordance with the classification system proposed by the American Heart Association's Emergency Cardiovascular Care Committee. The review of the literat...Continue Reading

References

Feb 1, 1979·The Journal of Allergy and Clinical Immunology
Nov 1, 1991·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·P W Ewan
Jun 20, 1991·The New England Journal of Medicine·B S Bochner, L M Lichtenstein
May 1, 1991·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·U MüllerJ Bousquet
Sep 1, 1989·The American Journal of Emergency Medicine·S B Karch
Dec 5, 1988·The Medical Journal of Australia·S GuptaP Roberts-Thomson
May 1, 1986·The Journal of Allergy and Clinical Immunology·S I Wasserman
Dec 1, 1986·Clinical Pharmacology and Therapeutics·J B WarrenP W Ewan
Sep 26, 1974·The New England Journal of Medicine·K F Austen
Oct 7, 1967·British Medical Journal·M A Lewis
Jul 1, 1981·Annals of Emergency Medicine·L B Pliss, E J Gallagher
Oct 6, 1997·Annals of Internal Medicine·M O Meade, W S Richardson
Dec 28, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M H BirosR J Lewis

❮ Previous
Next ❯

Citations

Nov 21, 2013·Allergy·S DhamiUNKNOWN EAACI Food Allergy and Anaphylaxis Guidelines Group
Jan 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Theodore DelbridgeCraig B Key
Sep 26, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·UNKNOWN Workgroup on EMS Management of Asthma Exacerbations
Mar 29, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John W LyngLawrence H Brown
Feb 24, 2005·Treatments in Respiratory Medicine·Kuender D Yang
Sep 2, 2008·The Journal of Emergency Medicine·Joel T LevisAlbert M Kuo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergies & Environmental Factors

Environmental factors are strongly associated with the prevalence of allergies and are an increasing health concern worldwide. Discover the latest research on Allergies and Environmental Factors here.

Anaphylaxis

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.

Related Papers

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Paul M SimpsonPaul M Middleton
© 2021 Meta ULC. All rights reserved