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dc.contributor.authorChang, Yu-Tung
dc.contributor.authorBoyle, Malcolm J.
dc.date.accessioned2018-04-04T01:39:18Z
dc.date.available2018-04-04T01:39:18Z
dc.date.issued2014
dc.identifier.issn2202-7270en_US
dc.identifier.urihttp://hdl.handle.net/10072/172706
dc.description.abstractIntroduction: Anaphylaxis is a potentially life-threatening medical emergency and a challenge for emergency healthcare providers. There appears to be a lack of consistency in the international definition and management of anaphylaxis. The objective of this study was to review current international guidelines in diagnostic and management of anaphylaxis in the pre-hospital setting. Methods: A literature search was conducted of the medical related electronic databases, Ovid MEDLINE, Cinahl, Cochrane CENTRAL and EMBASE from 1980 to the end of May 2013. A previously published pre-hospital search filter was used in each of the databases including additional keywords, ‘anaphylaxis’, ‘diagnosis’, ‘hypersensitivity’, ‘allergy’, ‘allergic reaction’, ‘adrenaline’, ‘epinephrine’ and ‘antihistamine’. Articles were included if their primary aim was to report of the evidence used to create international guidelines of anaphylaxis diagnosis and management. The references of retrieved articles were also reviewed. Articles were excluded if they were not written in English. Results: There were 128 articles located by the search with 18 meeting the inclusion criteria. Of these, three were literature reviews and six reported on the introduction of anaphylaxis guidelines, including medical treatment in different countries. Three retrospective studies evaluated the efficiency of current diagnostic and management in hospital setting. Two questionnaire surveys were conducted internationally. There were two articles proposing diagnostic criteria and a rating method for anaphylaxis. Two were relevant to prehospital studies. Conclusion: The inconsistency of definition and diagnosis criteria increases the risk of under-diagnosis and under-treatment of patients with anaphylaxis. Emergency healthcare providers need a more explicit set of diagnosis criteria and guidelines for treatment to rapidly relieve patients’ anaphylactic reaction and potentially life-threatening situation.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherParamedics Australasiaen_US
dc.publisher.urihttps://ajp.paramedics.org/index.php/ajp/article/view/24/95en_US
dc.relation.ispartofpagefrom4-1en_US
dc.relation.ispartofpageto4-7en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalAustralasian Journal of Paramedicineen_US
dc.relation.ispartofvolume11en_US
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode119999en_US
dc.titleAnaphylaxis diagnostic criteria and management guidelines for the pre-hospital setting: A comparisonen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dc.description.versionPublisheden_US
gro.rights.copyright© 2014 Paramedics Australasia. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.en_US
gro.hasfulltextFull Text
gro.griffith.authorBoyle, Malcolm


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