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by inferiorhuman 3583 days ago
> Sphygmonanometer = useless. You can't hear fuck. Just taking the pulse is accurate enough in life or death circumstances.

Seems like a digital blood one would be fine?

> Antihistamine injectable, 50 mg. Why ??? Not more potent than any cheap oral antihistamine.

No more potent, but faster acting, no? Seems like a good idea for anaphylactic shock?

3 comments

> but faster acting, no?

Not really. Even regular tablets begin to act in 20 min, even faster with the sublingual ones.

> Seems like a good idea for anaphylactic shock?

A very bad one, actually. Some people might want to give an antihistamine first (completely useless in anaphylaxis, by the way), and see what happens, instead of going straight to epi.

When you cannot know the provider's experience, its better to assume for the worse, and give one, and one only choice = EPI.

Antihistamines will not reverse anaphylaxis. If the patient has progressed to anaphylactic shock, they need epinephrine (and you might as well give them the half liter of fluid in the kit as well).
I don't quite trust a digital BP cuff. Airplanes aren't really loud at all. I've done vitals in the middle of louder crowds or in the back of a rig.

Anaphylaxis is only treatable with epi and fluids.