Abstract
Background: Successful shock management requires prompt identification, classification,
and treatment; however, the triage of patients with non-hemorrhagic shock to the trauma
room can lead to delayed diagnosis with increased morbidity and mortality. Objective:
Our goal is to emphasize the importance of shock identification and classification
to facilitate the delivery of the appropriate and timely therapy, no matter how the
patient is triaged. Case Report: We describe a patient triaged as a trauma patient
with suspected hemorrhagic shock yet who was found to have anaphylaxis as the etiology
of his condition. Abdominal anaphylaxis, a less recognized presentation of anaphylaxis,
is reviewed and discussed. Conclusions: We hope to increase awareness of a less common
presentation of anaphylaxis and discuss its management.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee.Circulation. 2008; 117: 296-329
- Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008.Crit Care Med. 2008; 36: 296-327
- Clinical review: hemorrhagic shock.Crit Care. 2004; 8: 373-381
- Early goal-directed therapy in the treatment of severe sepsis and septic shock.N Engl J Med. 2001; 345: 1368-1377
- Advanced Trauma Life Support student course manual.8th edn. American College of Surgeons, Chicago, IL2008
- A practical guide to anaphylaxis.Am Fam Physician. 2003; 68: 1325-1332
- An unusual cause of abdominal pain and hypotension: angioedema of the bowel.J Emerg Med. 2009; 36: 23-25
Lisinopril. In: Drugdex. Intranet database, version 5.1. Chicago, IL: Thomson Healthcare.
- Epidemiology of anaphylaxis: findings of the American College of Allergy, Asthma and Immunology Epidemiology of Anaphylaxis Working Group.Ann Allergy Asthma Immunol. 2006; 97: 596-602
- Anaphylaxis in the United States: an investigation into its epidemiology.Arch Intern Med. 2001; 161: 15-21
- Analysis of food-allergic and anaphylactic events in the National Electronic Injury Surveillance System.J Allergy Clin Immunol. 2008; 121: 166-171
- Second symposium on the definition and management of anaphylaxis: summary report—Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium.J Allergy Clin Immunol. 2006; 117: 391-397
- Paediatric emergency department anaphylaxis: different patterns from adults.Arch Dis Child. 2005; 24: 159-163
- Patterns of anaphylaxis: acute and late phase features of allergic reactions.in: Novartis Foundation. John Wiley & Sons, Ltd, London2004: 101-115
- Clinical features and severity grading of anaphylaxis.J Allergy Clin Immunol. 2004; 114: 371-376
- The clinical spectrum of anaphylaxis in north-west England.Clin Exp Allergy. 1996; 26: 1364-1370
- Food-dependent exercise-induced anaphylaxis.J Allergy Clin Immunol. 1983; 71: 407-411
Article info
Publication history
Published online: October 01, 2010
Accepted:
April 8,
2010
Received in revised form:
January 6,
2010
Received:
September 12,
2009
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
