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The Resus Room

Anaphylaxis; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 16 November 2020

⏱️ 60 minutes

🧾️ Download transcript

Summary

Welcome back to the podcast!

In this episode of Roadside to Resus we're going to take a look Anaphylaxis, which has been highlighted on a national level of concern as NICE state ‘many people do not receive optimal management following their acute anaphylactic reaction’.

Much of the problem lies within a lack of understanding of what actually constitutes an anaphylactic reaction and the knock on effect this has to the treatment provided.

In this episode we'll explore the definition of anaphylaxis and the significant differences that can be seen in the presentation. We have a a think about the pathophysiology and reasons behind the variance in presentations and how this affects the importance of treatments available and their relative importance.

Anaphylaxis is known to have a a number of patients who have a biphasic reaction, it predicates the need to convey patients to hospital and a period of observation; however the frequency and severity of these biphasic reactions can help to inform this further and for that reason we take a look at the literature on it.

We've covered angioedema before in a separate episode, but we briefly cover the similarities and differences and how this affects management.

Lastly we cover the follow up and management that these patients require.

We'd love to hear any comments or feedback you have and make sure to take a look at the references and resources below.

Enjoy!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.5

Five, four, three, two, one, fire.

0:12.0

So hi, and welcome back to the Reeser Room podcast.

0:15.4

I'm Simon Lang.

0:16.5

I'm Rob Fenwick.

0:17.5

And I'm James Yates.

0:18.5

And we're back with another roadside to recessus and this time on anaphylaxis.

0:24.4

Yes indeed we are.

0:25.5

It is time to revisit a classic episode from 2016 when it was just you and me Langers

0:30.8

and a tape recorder huddled around a coffee table.

0:34.1

Thankfully, obviously we have now got better equipment.

0:37.3

We've definitely got more life

0:38.5

experience and we have the prof who is obviously Jage Jakes to correct us both on that.

0:44.7

Thanks, guys. Thank you. But also, I can't claim the full glory for my amazingly insightful

0:50.0

comments that I'm going to come out with this evening. Because actually, I've just got to say

0:53.4

an enormous thanks to Dr. Sophie Farouk,

0:56.3

who I had the honour of having a chat with earlier on.

0:59.8

Now, she is a allergy consultant and clinical lead at Imperial College Healthcare in London,

1:05.5

and she was enormously helpful and gave me an absolute enormity and wealth of information to draw from.

1:11.4

So I can't thank her enough and she'll make me sound very clever this evening.

1:14.9

She's obviously very clever, but we're not saying she can work miracles.

1:19.6

Well, if she doesn't, I apologise to her enormously.

...

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