Wilderness Medicine Podcast

#25: Anaphylaxis and Everest

6 snips
Mar 21, 2022
Dive into the world of wilderness medicine with thrilling discussions on the latest clinical guidelines for anaphylaxis treatment. Discover the challenges of managing allergic reactions in remote settings and the critical role of timely epinephrine administration. Explore the practical use of space blankets at high altitudes and innovative reflective foils for insulation. Celebrate the Full Circle Everest Expedition, highlighting the importance of representation and mentorship in climbing as they blaze trails for underrepresented communities.
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ADVICE

Treating Allergic Reactions

  • Don't give epinephrine for a localized allergic reaction like poison ivy.
  • Anaphylaxis requires two or more systems involved or a severe reaction in one system.
INSIGHT

Diagnosing Anaphylaxis

  • Clinically differentiate anaphylaxis, not through pathophysiology.
  • Focus on symptoms like skin/mucosal involvement, respiratory issues, or GI problems.
ADVICE

First-Line Treatment for Anaphylaxis

  • Use epinephrine immediately for anaphylaxis; it's the first-line treatment.
  • Don't delay epinephrine with antihistamines or corticosteroids, as they don't address all symptoms.
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