Anaphylactic shock, first aid


  • What is anaphylactic shock
  • First aid for anaphylactic shock

    What is anaphylactic shock

    Anaphylactic shock is primarily a shock - acutely developing
    The state of inconsistency of delivery and consumption of oxygen,
    characterized by acute insufficiency of blood circulation (acute
    circulatory failure), right up to collaptic state,
    arising, due to anaphylaxis (excessive reaction of the body
    man on the repeated effects of allergen). Anaphylactic reactions
    (anaphylactic shock) - threatening life urgent states quickly
    developing pronounced vascular collapse.

    Anaphylactic shock may be accompanied by such accompanying allergic reactions as:

    • Changing the color of the skin (redness - allergic dermatitis);
      • The appearance of rashes (focal or spilled nature - urticaria, generalized
      • Fast
        the development of swelling of soft tissues (torso, limbs, more often, neck and,
        What is especially dangerous, mucous album with possible development
        Asphyxia and other.), just as it happens at the post of quinque (angioedema edema);
      • Phenomena
        bronchospasm (feeling of the lack of air, constraints of the sternum,
        mischievous breath, and in the subsequent and exhalation, with the advent of the characteristic
        whistling breathing, shortness of breath) - bronchial asthma;

      As any sharp insufficiency of blood circulation, and in the subsequent, and
      breathing this condition is accompanied by manifestations from
      central nervous system - originally a feeling of fear,
      anxiety, even excitement, and then dizziness increasing
      oppressing consciousness up to coma.

      Depending on the intensity of the impact of an allergic factor and
      Features of the body's reaction - anaphylactic shock can develop
      In the time interval from a few minutes (10-15 minutes) to several

      First aid for anaphylactic shock

      Copy help (doctor) should necessarily immediately cause
      With initial manifestations of any acute allergic reaction having
      increasing nature. Or even with minimal allergic (above
      described) manifestations, but accompanied by increased pulse, decrease
      (even moderate - 10-20 mm RT. Art.) blood pressure, appearance
      Dysfots, bronchospasm, edema
      mucous bastard (cough, dysphony - voices, feeling
      choking). In general, the rule is such, any patient with acute allergic
      The reaction should be examined by a doctor immediately. But, when
      Above the described features in addition to acute allergic reaction,
      Must be additionally imposed on emergency medical dispatcher to make a decision on emergency medical care
      Specialized ambulance brigade.

      Anaphylactic shock, first aid
      Remember that an anaphylactic reaction is easier to prevent than to treat. In no case should not wait for the expanded picture of anaphylactic shock in order to
      call the ambulance. This is due to his life-degrading nature of the flow. Anaphylactic shock - requires immediate
      hospitalization of the patient due to the need to provide him with qualified medical care in the conditions of the resuscitation department.

      Given the timing of the development of the state of anaphylactic shock
      Resuscitation assistance may be required by this patient already at the stage
      Arrival «Emergency» and during transportation
      What requires the availability of relevant qualifications of brigade personnel
      emergency medical care (ability to conduct resuscitation and
      Intensive-therapeutic measures) and equipping the machine
      Equipment Aid (Cardiomonitor with Pulse Oximeter, Respiratory
      Apparatus, set for intubation and tracheo (conic) Tomia), oxygen,
      medicines and solutions.

      Events (anti-inflammatory,
      Anti-ebony, respiratory therapy)
      do not have to delay or prevent the patient transportation in
      hospital. With the exception of short episodes of the time required for
      resuscitation activities (heart and intubation massage) if
      They cannot for any reason be performed during the movement.
      This is due to the fact that all these events do not guarantee fast
      stopping the manifestations of anaphylactic shock and do not replace those
      capabilities of qualified medical care that are in
      Hospital conditions.

      Before the arrival of the brigade «Emergency», If possible, it follows:

      • isolate
        patient from allergen if he is famous (to air the room,
        produce its wet cleaning, with a reaction to the bite insect, or on
        intramuscular or subcutaneous injection - to handle the wound deterigent and
        antiseptic, possibly the imposition of a harness above the place of bite, noting time
        Pressing blood flow and cold to the place of bite (injection);
      • to put the patient horizontally, with a decrease in blood pressure with a bit raised legs (no more than 15 - 20 degrees);
      • observe the patient, if possible, measuring hell, pulse rate, frequency and rhythm of breathing;
      • give
        he has available or usually accepted desensitizing
        (Antihistamine) Means (Tueva, Suprastin, Claritin, Summamp,
        Allertek and T.D.).

      Should be remembered,
      that information representing the value for an ambulance doctor,
      which may present the patient, his relatives or relatives, and
      Also those who were near the patient during development
      Anaphylactic shock, is:

      • exact time
        began developing an allergic reaction and the time that has passed since
        development of certain manifestations from the body of the patient
        (appearance of shortness of shortness of shortness of dies, votes, pulse increases, hesitation hell and t.D.);
      • Anamnese data on allergic reactions previously observed in the patient and what caused their development;
      • A detailed list of the fact that the patient was given and did before arrival
        ambulance and when.

      The cause of anaphylaxis can be: administration of medicines
      (antibiotics and others.); Insect bites (more often stinging); Food products;
      pollen; dust; chemical substances; Blood preparations.

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