In this episode Will Duffin and Eoin Walker talk about the recently released 'Wilderness Medical Society Clinical Practice Guidelines on Anaphylaxis'. They examine and analyse the paper's remit, cohort involved, methodological structure, guideline recommendations, and variations compared to other guidelines (NICE, Resuscitation Council). One of the key seminal recommendations that are not mentioned in the episode but the hosts fundamentally agree with is the training of non-medical personnel to deliver adrenaline to the anaphylactic patient. They also examine the definitions of anaphylaxis, the variation of symptomatology that anaphylaxis can present with, and the limitations of the guidelines. They also include their anecdotal experience to emphasise the importance that environmental and wilderness factors play in such cases. They finally discuss the emphasis on intramuscular adrenaline and some of the limitations of other recommendations which feature in the guidelines. The paper can be found here, together with the other international guidelines mentioned in the episode: https://reader.elsevier.com/reader/sd/pii/S108060322100212X?token=65430C811F679190782505A2FDAB85E27620770B662073A9F741D12C220C57DF627BA14C09B64F01AEB94D1986F44242&originRegion=eu-west-1&originCreation=20220204143354 https://www.nice.org.uk/guidance/cg134 https://www.resus.org.uk/library/additional-guidance/guidance-anaphylaxis/emergency-treatment

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.

Transcript

Related