The incidence of anaphylaxis is rising. Confusion can still occur about the diagnosis, treatment, investigation and follow up of children after an anaphylactic reaction. Recently, the Resuscitation Council (UK) published revised consensus guidelines based on the available limited evidence on the recognition and treatment of anaphylaxis reactions ( http://www.resus.org.uk/pages/reaction.pdf ). Significant changes have been made to simplify the emergency management for first responders especially in regards to the recognition of anaphylaxis and the immediate use of intramuscular adrenaline which remains the mainstay of treatment.
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