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Difficulty Breathing 

Difficulty Breathing
Difficulty Breathing
Acute Care Casebook

Essie Reed-Schrader

, and William T. Rivers


This case reviews the presentation and management of anaphylaxis. Anaphylaxis is a clinical diagnosis defined as the involvement of two or more body systems (skin, respiratory, gastrointestinal, or cardiovascular) with or without the presence of hypotension or respiratory compromise. Epinephrine administered intramuscularly is life-saving and may be followed by the administration of antihistamines, steroids, and intravenous fluids. The recognition and management of anaphylaxis is discussed along with both prehospital and emergency department treatment considerations. The chapter focuses on the case of a pediatric patient who presents to emergency medical services with trouble breathing. The diagnosis is allergic reaction with anaphylaxis.

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