All stations
Medical
Intermediate
10 minute station

Anaphylaxis Following Wasp Sting, 34-Year-Old Female

Dispatch

Cat 1 — 34-year-old female, facial swelling and difficulty breathing after wasp sting, known allergy.

On arrival

Patient sitting forward, stridor audible, widespread urticaria and lip swelling. Partner has already used her own adrenaline auto-injector once, five minutes ago.

Initial observations

Airway
Audible stridor, swelling of tongue and lips
RR
28, bilateral wheeze
SpO2
90% on air
Pulse
128 regular
BP
84/50 mmHg
Skin
Widespread urticarial rash, flushed
GCS
15