MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
Minutes after receiving an antibiotic, a 34-year-old woman develops a hoarse voice, wheeze and faintness. No rash is visible. Someone suggests waiting for an antihistamine to work.
Which error should be prevented?
Waiting because there is no rash, or prioritising an antihistamine, would delay care for probable anaphylaxis. Call emergency assistance and have trained personnel give intramuscular adrenaline according to protocol, with appropriate positioning and monitoring. Investigation of the cause follows management of life-threatening features.