Anaphylaxis in the surgery — CCE clinical encounter

Objectives

1. Recognise anaphylaxis clinically — rapid onset after a likely allergen with mucocutaneous, respiratory and cardiovascular involvement. ^[4]
2. Deliver first-line treatment without delay: intramuscular adrenaline into the mid-anterolateral thigh at the correct dose, repeated as needed. ^{[1] [24]}
3. Sequence adjuncts correctly — positioning, oxygen, intravenous fluids, bronchodilator — and reject the intravenous bolus shortcut outside monitored care. ^{[4] [5]}
4. Order timed tryptase sampling without letting it delay treatment. ^{[36] [15]}
5. Construct the discharge package: observation tier, two auto-injectors, demonstrated technique, written plan, specialist referral. ^[36]