Case 4

A 28 year old male with a history of nut allergy presents to the emergency department by taxi with his girlfriend. They had been out for dinner in a Thai restaurant when he started to complain of having an itchy throat and feeling short of breath.

On route to the hospital he has become more unwell and is now pale and unresponsive. He is transferred to a trolley in resus immediately on arrival.

His observations are as follows.

- HR 160

- RR 35

- Sats 80% RA

- BP 60/40

- He is Afebrile

Question 1.

What is the most likely diagnosis?

Question 2.

What treatment do you immediately administer?

Question 3.

What second line treatments do you consider?

Question 4

The patient recovers. What education does he need prior to hospital discharge?