Akmedic07

As a paramedic that has experienced anaphylaxis personally, I would not hesitate to give someone with BP of 60 systolic epi. According to my allergy specialist people wait to long to give epi and it is hard to reverse the "flushed toilet" quickly. I hated the after effects of epi and so when I had the second "idiopathic" anaphylactic event, I convinced my crew to go straight to benedryl and fluids. (I did not initially present with hives- just itchy hands and feet to very low BP then unconsciousness). He had a stern discussion regarding that decision after the fact. He reminded me of EPIs role in helping to super charge the compensatory system and he strongly encouraged its use early, if there was any suspicion anayphylaxis was the cause. I also believe a recognizable medical alert tag is important. But I have noticed that my basic instructors are not emphasizing the need for a quick search for jewelry. All it needs is a contact number if there are mulitiple allergens. Just my thoughts on the matter...

We use the auto pulse with good results when the battery works. Had some issues initially but once we instituted the correct battery maintenance we are having better luck. When you have limited personnel and long (greater than 20 minutes)transport they are very helpful. We have had a couple true saves (patient left the hospital) but size of the patient can be an issue. Re your discussion regarding hands-only CPR.. great for lay folks but for providers we should still try to get air in AFTER good compressions are started.. From my research it is emphasized that we need to get those 0's moving as quickly as possible.