Question

A 45-year-old man with severe anaphylaxis received IM epinephrine x2 and improves. Next step in ED?

Accepted Answer

Observe for biphasic reactions and prescribe an epinephrine auto‑injector with education; consider adjuncts

Answer

Discharge immediately without observation or auto‑injector

Answer

Start systemic steroids only and discharge

Answer

No need for education once symptoms resolve

Answer

Admit all anaphylaxis cases to ICU regardless of response

Practice question

A 45-year-old man with severe anaphylaxis received IM epinephrine x2 and improves. Next step in ED?