Médicaments et trousse d'urgence chez le patient allergique

While the management of a case of anaphylactic shock occurring in a hospital is usually well organized and relatively easy, when it occurs outside the hospital, the problem is completely different and particularly difficult. The essential treatment, adrenaline, has to be administered as soon as possible and at an effective dose. As a consequence, patients who are selected to carry adrenaline with them have to be identified and an algorithm developed for them. These high-risk patients must undertake self-management education and a first-aid kit has to be prepared for them. This kit should contain all the necessary medicines to be taken in case of an allergic reaction: an adrenaline auto-injector kit, an antihistamine, an oral corticoid and a bronchodilator.