Adrenaline concentration safety — DipIMC MCQ

Correct answer: C — Give intramuscular adrenaline 500 micrograms using the correct concentration for IM use

Give intramuscular adrenaline 500 micrograms using the correct concentration for IM use is the best answer because standard first-line adult anaphylaxis treatment is IM adrenaline, not IV bolus adrenaline. Give nebulised salbutamol as sole treatment is less appropriate because bronchodilator therapy may help wheeze but does not treat systemic shock; Give intramuscular adrenaline 1 mg is less appropriate because 1 mg intramuscular adrenaline is not the standard anaphylaxis dose. Delay medication until hospital review and Give intravenous adrenaline 1 mg as a rapid bolus 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