Anaphylaxis after wasp sting remote — DipIMC MCQ

Correct answer: A — Give intramuscular adrenaline 500 micrograms and repeat if needed after reassessment

Give intramuscular adrenaline 500 micrograms and repeat if needed after reassessment is the best answer because adult anaphylaxis requires prompt IM adrenaline, with repeat dosing guided by response. Give nebulised salbutamol as first-line trauma therapy is less appropriate because bronchodilator therapy does not address the traumatic pathology; Withhold the drug until laboratory confirmation is available is less appropriate because waiting for tests delays time-critical pre-hospital treatment. Give oral medication and reassess at hospital and Give intramuscular morphine 20 mg as a fixed dose 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