Anaphylactic shock, first aid

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  • What is anaphylactic shock
  • First aid for anaphylactic shock



    What is anaphylactic shock

    Anaphylactic shock - it is primarily SHOCK - sharply growing
    the delivery status of non-compliance and oxygen consumption,
    characterized by acute circulatory failure (acute
    circulatory insufficiency) until collaptoid state,
    arising as a result of anaphylaxis (excessive reaction of the body
    man on repeated exposure to allergen). Anaphylactic reactions
    (Anaphylactic shock) - a life-threatening emergency conditions quickly
    developing pronounced vascular collapse.

    Anaphylactic shock can be accompanied by concomitant allergic reactions such as:

    • discoloration of the skin (redness - atopic dermatitis);
      • the appearance of lesions (focal or diffuse nature - hives, generalized
        hives);
      • fast
        development of soft tissue edema (trunk, extremities, usually the face, neck and
        which is especially dangerous, mucous hypopharynx with a possible development
        . Asphyxia, etc.), just as is the case with angioedema (angioedema);
      • phenomena
        bronchospasm (feeling short of breath, tightness in the chest,
        labored breath and exhale and subsequently, with the appearance of the characteristic
        wheezing, shortness of breath) - asthma;

      Like any acute circulatory failure, and later, and
      breathing is a condition accompanied by manifestations
      central nervous system - the original feeling of fear,
      anxiety, even excited, and then dizziness, progressive
      oppression of consciousness up to coma.

      Depending on the intensity factor and allergic effects
      features of the body's reaction - anaphylactic shock can develop
      in the time interval from a few minutes (10-15 min) to several
      hours.



      First aid for anaphylactic shock

      First Aid (doctor) should necessarily cause immediate
      at any initial acute manifestations of allergic reaction has
      growing character. Or even at the minimum of allergic (above
      described) forms, but accompanied by increased heart rate, decreased
      (Even moderate - 10-20 mm Hg..) Of blood pressure, the appearance of
      dyspnea, bronchospasm, edema
      mucous hypopharynx (cough, dysphonia - hoarseness, feeling
      suffocation). In general, the rule is that any patient with acute allergic
      the reaction should be examined by a doctor immediately. But, when a
      features described above in addition to a severe allergic reaction,
      It should be further and specifically notified ambulance dispatcher for a decision on emergency medical assistance
      specialized team ambulance.

      Anaphylactic shock, first aid
      Remember that anaphylactic reaction is easier to prevent than to treat. In no event should not wait for a comprehensive picture of anaphylactic shock to
      call the ambulance. This is due to its life-threatening nature of the flow. Anaphylactic shock - requires immediate
      hospitalization in connection with the necessity of providing them with competent medical care in the intensive care unit.

      Given the timing of the development of the state of anaphylactic shock
      emergency care may be necessary in these patients at the stage
      the arrival of "first" and during transport
      patients
      that requires a suitably qualified team of staff
      ambulance (the ability to carry out resuscitation and
      intense therapeutic interventions) and equipment of ambulance
      aid equipment (heart monitor with pulse oximeter, respiratory
      machine, set for intubation and tracheo (conic) tomy), oxygen
      medicines and solutions.

      conducted
      events (anti-inflammatory,
      decongestants, respiratory therapy)
      You should not delay or prevent the transportation of the patient in
      hospital. Except for short periods of episodes required for
      resuscitation (chest compressions and intubation), if
      they can not, for any reason, be performed during the movement.
      This is due to the fact that all these measures do not guarantee a quick
      cupping manifestations of anaphylactic shock, and do not replace those
      the possibility of skilled care, which are available in
      hospital.


      Prior to the arrival of "first" brigade, if possible, should:

      • isolate
        patient of allergen, if known (ventilate the room,
        make it wet cleaning, in the reaction to an insect sting, or
        intramuscular or subcutaneous injection - to treat the wound with detergent and
        antiseptic may tourniquet above the bite, noting the time
        compression of blood flow and chill on the bite (injection);
      • put the patient horizontally, with a decrease in blood pressure with a slightly raised legs (no more than 15 - 20 degrees);
      • observe the patient, if possible by measuring blood pressure, pulse rate, respiratory rate and rhythm;
      • give
        it is available in stock or usually takes them desensitizing
        (Antihistamine) means (tavegil, suprastin, Claritin, sempreks,
        allertek etc.).

      It should be remembered,
      that information of value to the emergency doctor,
      you can imagine the patient, his relatives or close people,
      and those who were close to the patient during development
      anaphylactic shock, is:

      • exact time
        the onset of an allergic reaction and the time that has elapsed since
        development of those or other manifestations from the patient's body
        (The appearance of shortness of breath, voice changes, increased heart rate, blood pressure fluctuations, etc.);
      • personal history of allergic reactions previously seen in patients and what was the cause of their development;
      • a detailed list of what is allowed and the patient made before arrival
        ambulance and when.

      The cause of anaphylaxis may include: administering medicines
      (Antibiotics, etc.); insect bites (often biting); foodstuffs;
      pollen; dust; chemical substances; blood products.

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