Severe allergic reaction without shock — DipIMC MCQ

Correct answer: A — Observe, give antihistamine if appropriate and advise escalation if airway, breathing or circulation features develop

Observe, give antihistamine if appropriate and advise escalation if airway, breathing or circulation features develop is the best answer because skin-only allergic symptoms without systemic compromise are not anaphylaxis but require observation and safety advice. Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem; Give unrestricted crystalloid to normalise blood pressure is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled. Immobilise every joint and delay departure for a detailed examination and Use oral analgesia as the main treatment 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