Paediatric anaphylaxis age 8 — DipIMC MCQ

Correct answer: C — Give intramuscular adrenaline 300 micrograms into the anterolateral thigh

Give intramuscular adrenaline 300 micrograms into the anterolateral thigh is the best answer because a child aged 6 to 12 years with anaphylaxis is usually treated with 300 micrograms IM adrenaline. Give intravenous adrenaline 1 mg as a rapid bolus is less appropriate because IV bolus adrenaline is reserved for cardiac arrest or expert titrated use; Give oral antihistamine as first-line treatment is less appropriate because antihistamines do not treat airway, breathing or circulation compromise. Give nebulised salbutamol as sole treatment and Give intramuscular adrenaline 1 mg are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: Resuscitation Council UK Guidelines; JRCALC Guidelines