The Management of Anaphylaxis

Assess, call for help, position patient safely, administer adrenaline, be prepared to commence age appropriate CPR, administer oxygen, record vital signs every 5-10 minutes, admit patient to hospital.

‍

We recommend you print copies of the downloadable resource and have these on your clinic wall and within the anaphylaxis kit.

‍

Anaphylaxis kit minimum requirements:

All vaccinators must hold a current appropriate CPR and be familiar with and have access to adrenaline and associated administration equipment in their clinical area. As a minimum, an emergency kit should contain:

• adrenaline 1:1,000 (at least 3 ampoules) and dosage chart
• syringes: 1.0 mL (a minimum of 3; tuberculin not insulin, as the insulin needle is too short for IM injection)
• needles: a range of needle lengths and gauges, including 23 or 25 G × 25 mm, 22 G × 38 mm.

It is also necessary to have on hand:

• adult and paediatric bag valve mask resuscitator (e.g. Ambu bag)
• access to a telephone.

All vaccinators providing immunisation services need to have a minimum of two people present. Of these, one must be an authorised or pharmacist vaccinator; the other must be a competent adult who is able to call for emergency support and has a CPR basic life support certificate.

‍

‍