Final Comment

Finally, we, the authors, could find no evidence to reliably predict outcome from anaphylaxis-induced cardiac arrest.

We suggest that it is poor, particularly in cases refractory to prompt and correct application of the ALS protocol.

Patients with recovery of spontaneous circulation may succumb, or survive with hypoxic brain injury.

Interpret your team and the paramedics’ failed resuscitation effort in this context – with appropriate feedback.

In which case your next task is informing the (typically young) family of their unexpected loss…..