Management of acute allergic reactions by dispatching physicians in a Medical Emergency Dispatch Centre.: Description of acute allergic reactions in emergency

Abstract : BACKGROUND: Acute allergic reactions often occur in out-of-hospital settings, and some of these reactions may cause death in the short term. However, initial diagnosis, management and processing of acute allergic reactions by Medical Emergency Dispatch Centres are not documented. The aim of the present study was to describe acute allergic reactions and their management by a Medical Emergency Dispatch Centre. METHODS: A prospective study was conducted from 20 August 2006 to 5 November 2006 on incoming calls for acute allergic reactions to the Medical Emergency Dispatch Centre for the Hauts de Seine (Paris West suburb, France). The agreement between initial diagnosis (made by dispatching physician) and final diagnosis (made by the physician who later examined the patient), and between initial and final severity, were evaluated using Cohen's weighted κ coefficient. RESULTS: 210 calls were included. The diagnoses made by the dispatching physician were: in 58.1% of cases urticaria, in 23.8% angioedema, in 13.3% laryngeal oedema, and in 1.9% anaphylactic shock. The agreement between initial and final diagnoses was evaluated by a κ coefficient at 0.44 (95% CI 0.26 to 0.61) and the agreement between initial and final severity was evaluated using a κ coefficient at 0.37 (95% CI 0.24 to 0.50). CONCLUSIONS: Only moderate agreement is highlighted between the initial severity assessed by the dispatching physician and the final severity assessed by the physician later examining the patient. This demonstrates the need to develop a tool for assessing severity of acute allergic reactions for dispatching physicians in Medical Emergency Dispatch Centres.
Type de document :
Article dans une revue
Emergency Medicine Journal, BMJ Publishing Group, 2012, 29 (2), pp.147-51. 〈10.1136/emj.2010.093989〉
Liste complète des métadonnées

Littérature citée [17 références]  Voir  Masquer  Télécharger

http://www.hal.inserm.fr/inserm-00529206
Contributeur : Nadine Kaniewski <>
Soumis le : mercredi 20 avril 2011 - 08:31:57
Dernière modification le : lundi 30 avril 2018 - 12:22:02
Document(s) archivé(s) le : jeudi 21 juillet 2011 - 02:25:51

Fichiers

allergic_reactions_EMJ_rev1.pd...
Fichiers produits par l'(les) auteur(s)

Identifiants

Collections

Citation

Hélène Godet-Mardirossian, Nathalie-Sybille Goddet, François Dolveck, Michel Baer, Dominique Fletcher, et al.. Management of acute allergic reactions by dispatching physicians in a Medical Emergency Dispatch Centre.: Description of acute allergic reactions in emergency. Emergency Medicine Journal, BMJ Publishing Group, 2012, 29 (2), pp.147-51. 〈10.1136/emj.2010.093989〉. 〈inserm-00529206〉

Partager

Métriques

Consultations de la notice

186

Téléchargements de fichiers

531