HELP me change my system

[battlemedic345]

Hey all,

Been a while since I posted here, but I couldn't think of a better place to ask for help.

I work in Montgomery County Pennsylvania and I've recently run into several calls wherein the pt was having a very bad allergic reaction w/o anaphylaxis.

In this sort of case, I have no protocol to treat them. Now, I can always call medical command, but more often than not they just want to know why I called! In Montco, we only have a protocol for anaphylaxis, but I'm sure we've all seen those pt's that are beet red, on fire and scratching their own flesh off w/o airway s/s's.

So I am asking for your help. Do any of you work in a system where there is a protocol that dfferentiates between allergic reaction and anaphylaxis?

Can someone email me thoughts, or specific protocols from your area @ battlemedic@hotmail.com

I would be much obliged.

[chbare]

Battlemedic 345, check you email.

Take care,

chbare.

[Ridryder 911]

You can check out Bledsoe's protocol web page as well. We have such protocol, listed under anaphylaxis (3 levels) minor, oderate, severe. The minor which usually is truly a reaction, we give the usual Benadryl (25-50mg) I.V., then Solu-Medrol 125mg I.V. as well, if there is potential respiratory we can administer a nebulizer treatment. Epi etc. is held for severe reactions....

Be safe,

R/r 911