Evaluation of Diagnosis and Management of Anaphylactic shock in Emergency Room: A Literature Review

Aisha N. Alqahtani, Sultan H. Alanazy, Osama S.H. Aljameel, Faris S.M. Aldhawi, Majd M.Jamjoom, Ahmed H. Al Sharhan, Juhainah A.M. Alshehri, Abdulghaffar T. Halawani, Zaid A. Alhamdan, Mojahed H. Attar, Israa M. Salman

Abstract

Background: Anaphylaxis is the most severe form of an allergic reaction. The incidence rate of anaphylaxis enhanced during the last decade. Death may happen in fatal anaphylactic shocks within minutes of the reaction. Hence, it is needed to highlight the significance of effective emergency management. Objective: In this investigation, we aimed to discuss the important aspects of anaphylaxis shock diagnosis and management in the emergency room. Method: PubMed database was used for article selection, and the following keywords were used in the mesh: "anaphylaxis management in emergency room"[Mesh] and “anaphylactic shock management in emergency room"[Mesh]. A total of 20 papers were reviewed and included in the research. Conclusion: The essential manifestations of anaphylactic reactions are on the skin, in the gastrointestinal tract, respiratory tract, and cardiovascular system. The symptoms may begin and progress very quickly, in which the condition can deteriorate dramatically into death within a few minutes. Then, a physician should be skilled and prepared for such cases. The most noteworthy drug in the acute remedy of anaphylaxis is adrenaline as it is a lifesaving drug in cases of anaphylaxis.Background: Anaphylaxis is the most severe form of an allergic reaction. The incidence rate of anaphylaxis enhanced during the last decade. Death may happen in fatal anaphylactic shocks within minutes of the reaction. Hence, it is needed to highlight the significance of effective emergency management. Objective: In this investigation, we aimed to discuss the important aspects of anaphylaxis shock diagnosis and management in the emergency room. Method: PubMed database was used for article selection, and the following keywords were used in the mesh: "anaphylaxis management in emergency room"[Mesh] and “anaphylactic shock management in emergency room"[Mesh]. A total of 20 papers were reviewed and included in the research. Conclusion: The essential manifestations of anaphylactic reactions are on the skin, in the gastrointestinal tract, respiratory tract, and cardiovascular system. The symptoms may begin and progress very quickly, in which the condition can deteriorate dramatically into death within a few minutes. Then, a physician should be skilled and prepared for such cases. The most noteworthy drug in the acute remedy of anaphylaxis is adrenaline as it is a lifesaving drug in cases of anaphylaxis.


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