Allergic reaction: epi yay or nay

[EpiEMS]

Then why carry them on the ambulance?

Other use cases — reactive airway disease, croup, bronchiolitis, adrenal crisis/adrenal insufficiency

 

[E tank]

Then why carry them on the ambulance?

It's been kind of dogma for a while to use them. Takes time for practice to catch up?

 

[Tigger]

It take me about a minute to give some dex, if there’s a benefit to patients getting it then we should be doing that. But I agree, the evidence is mixed.

Decadron can also be given PO from the vial if you feel that needles are going to be an issue. Both medical direction and many of the physicians themselves encourage us to give it given the potential wait for orders etc. Is that the most clinical justification? No.

 

[johnrsemt]

You carry and use steroids on the ambulance because it does help the patient; maybe not during the transport, but it helps in an hour or 2. But why wait until you get to the hospital for the clock on it to start? Then you are just making the patient wait longer for it to start helping.
Also great for areas who have long transport times

 

[DesertMedic66]

You carry and use steroids on the ambulance because it does help the patient; maybe not during the transport, but it helps in an hour or 2. But why wait until you get to the hospital for the clock on it to start? Then you are just making the patient wait longer for it to start helping.
Also great for areas who have long transport times

However there are no solid studies that support this claim.

 

[HardKnocks]

What was the exposure and/or onset times? Last intake? Mother Breastfeeding/recent change in vape/ food/intoxicants? Existing condition?
Home Environment? BG?

There's a ton of toxins in today's home environments that we, as kids weren't exposed to.

 

[RescueRicky]

Just a EMT, but no. No episode needed. Just Benadryl and monitor.