Guidance on Emergency Management of Severe and Critical Anaphylaxis

04:10, 11/07/2024

Circular 51/2017/TT-BYT was signed and promulgated by the Ministry of Health to provide guidelines on anaphylaxis prevention, diagnosis, and management. This document replaces Circular 08/1999/TT-BYT.

According to the new regulations, Grade II anaphylaxis can rapidly progress to Grade III or Grade IV. Therefore, urgent and simultaneous treatment based on the disease's progression is necessary. Specifically, the treatment guidelines are as follows:

- Immediately stop exposure to the medication or allergen.- Administer or infuse adrenaline.- Have the patient lie down on the spot, with their head lowered and turned to the left if vomiting occurs.- Provide oxygen therapy: adults 6-10 liters/minute, children 2-4 liters/minute via an open mask.- Evaluate the patient's respiratory, circulatory status, consciousness, and any skin and mucosal manifestations.- Perform external chest compressions and manual ventilation.- Perform endotracheal intubation or emergency tracheotomy.- Establish an intravenous adrenaline line using a standard infusion set but with a large-bore needle or place a venous catheter and a second intravenous line for rapid fluid administration.- Consult with colleagues, focus on handling the situation, report to superiors, and conduct a consultation with emergency, resuscitation, and/or allergy specialists.

Refer to other guidelines in Circular 51/2017/TT-BYT, effective from February 15, 2018.

- Thanh Lam -

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