The management of anaphylactic shock by an advanced nurse-led rescue vehicle: a case report

Introduction: Anaphylaxis is an acute and potentially fatal systemic allergic reaction that manifests rapidly after exposure to an allergen, with symptoms such as respiratory difficulties, airway swelling, hypotension, and skin rash. Intramuscular administration of epinephrine is the first-line treatment for managing it.

Materials and Methods: A case report was conducted on a severe case of anaphylaxis managed by an emergency ambulance with emergency nurse on board in Tuscany, highlighting the effectiveness of the treatment and the critical aspects of the process.

Results: Epinephrine and other drugs were administered according to advanced nursing procedures, with a rapid improvement in the patient's vital parameters during transport. The patient, a known allergic individual, did not have auto-injectors. Nonetheless, the prompt approach allowed for an early regression of symptoms.

Discussion: This case report highlights the importance of rapid and effective intervention by prehospital emergency nurses in managing anaphylaxis and underscores the need to promote education on the timely use of epinephrine auto-injectors at home.