Anaphylaxis-induced Cardiac Arrest – Post Test

The key treatment for anaphylaxis is?

Which one of the following broad group of triggers of anaphylaxis is most likely to cause breathing difficulties leading to cardiac arrest?

Which one of the following presentations is not a recognized presenting feature of anaphylaxis?

A 26-year-old previously well woman presents with marked flushing, abdominal pain and a loose bowel action. The paramedics were called to a restaurant where she was eating and now report HR 110, normal BP, sats 100% on high-flow O2. The symptoms started five minutes into a chicken main course; mackerel pâté starter with a New Zealand sauvignon blanc.

What is the likely diagnosis?

A man in his 40s is in cardiac arrest. You are confident this has been triggered by anaphylaxis. His likely fluid need in order to effect a successful outcome is likely to be?

You are checking the care of a 72-year-old man with your junior trainee. The patient had a pr bleed, with a lactate of 6. He has had 1 L N/saline and now has a running bag of 500 ml gelofusine. He appeared to be improving but his monitor is now alarming — BP 60/-, HR ~ 115 AF. He is acutely breathless with widespread erythema, which the trainee confirms as new.

Which of the following is the least appropriate action?

Which of the following might serve as the best modification of the standard advanced life support (ALS) protocol for beta-blocked patients in anaphylactic-induced cardiac arrest?

A 64-year-old woman has been stung on the lip by a wasp whilst drinking. She suffers acute lip and tongue swelling and breathing difficulties. She arrests 3 minutes prior to arrival in ED – the paramedic follows the ALS protocol. In an effort to achieve early intubation shortly after arrival, you are unable to view her oropharynx with a laryngeal blade because of marked tongue swelling.

Whilst giving your best effort at intermittent positive pressure ventilation (IPPV), and achieving little chest wall movement, the most appropriate strategy in relieving her airway obstruction is?

Which of the following statements regarding serum tryptase sampling in the context of anaphylaxis is incorrect?

Following successful or unsuccessful treatment of drug-induced anaphylactic cardiac arrest, you are obliged to report the incident to which one of the following agencies?