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10 minute station

Paediatric Anaphylaxis Following Peanut Exposure

Dispatch

Cat 1 — 8-year-old male, facial swelling and breathing difficulty after eating at a party, known peanut allergy.

On arrival

Child sitting with mother, visible facial and lip swelling, audible wheeze, widespread hives. School has already administered his auto-injector once.

Initial observations

Airway
Mild swelling, no stridor yet
RR
30, expiratory wheeze
SpO2
92% on air
Pulse
142
BP
88/56 mmHg
Skin
Widespread urticaria
Weight
26 kg