Anaphylaxis is a somewhat unique emergency, as one of the few conditions which can kill an otherwise healthy person within a matter of minutes. This is very treatable, so immediate and definitive management is paramount. To make matters worse, different patients will manifest with a variety of diverse presentations, so a high index of suspicion is important.
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The IBCC chapter is located here.
- The podcast & comments are below.
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Hi Dr Josh FarKas,
Love your post and IBCC. Especially the step by step care from start to finish.
Question: why is fluids very important in anaphyaxis shock on continuous epi, is it not similar to vaso dilation shock that needs more pressor support vs fluids?
Anaphylaxis causes both vasodilation and extravasation of fluid into the tissues (third spacing), so both vasoconstrictors and fluid are useful. This is somewhat different from septic shock because you’re trying to stabilize the patient for a couple hours until the anaphylaxis resolves. Therefore, there is less of a concern regarding fluid accumulation – because the patient will generally recover rapidly and promptly mobilize any excess fluid.