Anchor Jessica, Settipane Russell A
Department of Medicine, Brown Medical School, Providence, RI, USA.
Am J Emerg Med. 2004 Oct;22(6):488-90. doi: 10.1016/j.ajem.2004.07.016.
We are submitting a case-based presentation illustrating medical errors in the use of epinephrine for the treatment of anaphylaxis. Readers will learn from mistakes made by other emergency caregivers in treating anaphylaxis. The article will specifically review the recommended use of epinephrine in the management of anaphylaxis. Four patients are presented who were seen in consultation by our outpatient allergy service. In all 4 cases, the history was suggestive of an episode of anaphylaxis in which emergency care providers mismanaged treatment. In 2 cases, the patients required ICU care after improperly receiving intravenous epinephrine. In the remaining 2 cases, epinephrine use was either omitted or significantly delayed in its administration. Our presentation includes a review of consensus statements regarding the treatment of anaphylaxis with particular regard to the use of epinephrine. We hope that this information will help prevent similar errors from harming other patients.
我们正在提交一份基于病例的报告，阐述在使用肾上腺素治疗过敏反应时出现的医疗差错。读者将从其他急救护理人员在治疗过敏反应时所犯的错误中吸取教训。本文将特别回顾肾上腺素在过敏反应管理中的推荐用法。文中介绍了我们门诊过敏科会诊的4例患者。在所有4例病例中，病史提示发生过过敏反应，而急救护理人员对治疗处理不当。其中2例患者在不当接受静脉注射肾上腺素后需要重症监护病房护理。在其余2例病例中，要么未使用肾上腺素，要么给药明显延迟。我们的报告包括对关于过敏反应治疗，特别是肾上腺素使用的共识声明的回顾。我们希望这些信息将有助于防止类似错误对其他患者造成伤害。
