Anaphylaxis: recognition, IM adrenaline and safe discharge
Recognise anaphylaxis quickly, give the right dose of IM adrenaline, manage refractory reactions and decide who can go home and when.
45 min Author: Dr Godfred Takyi, MBChB, FGCS(EM) Reviewed by: Dr Godfred Takyi, MBChB, FGCS(EM) Updated 2026-10-17By the end of this module you should be able to
- Recognise anaphylaxis from airway, breathing and circulation problems, with or without skin features.
- Give the correct IM adrenaline dose for adults and children, and repeat it at the right interval.
- Recognise refractory anaphylaxis and start a low-dose adrenaline infusion with expert help.
- Explain the limited place of antihistamines and corticosteroids.
- Plan observation, mast cell tryptase sampling and discharge, including adrenaline for patients to carry.
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