A 23-year-old man collapses at a barbecue shortly after eating prawns. He has generalised urticaria, facial swelling, hoarse voice, expiratory wheeze ...

Question

A 23-year-old man collapses at a barbecue shortly after eating prawns. He has generalised urticaria, facial swelling, hoarse voice, expiratory wheeze and a systolic blood pressure of 80 mmHg. What is the single most important immediate treatment?

Accepted Answer

Intramuscular adrenaline 0.5 mg (1:1000) into the lateral thigh

Answer

Nebulised salbutamol

Answer

IV hydrocortisone 200 mg

Answer

IV chlorphenamine

Answer

Rapid infusion of normal saline alone

au-amc MCQ (SBA): Anaphylaxis

A 23-year-old man collapses at a barbecue shortly after eating prawns. He has generalised urticaria, facial swelling, hoarse voice, expiratory wheeze and a systolic blood pressure of 80 mmHg. What is the single most important immediate treatment?