PROTOCOLS

ALS PRACTITIONER PROTOCOLSC. ANAPHYLAXISAdults:Intramuscular:• Initial: 0.3mg of 1:1000 undiluted (ideallyanterolateral thigh)• Repeat : every 15 - 20 minutes if no clinicalimprovement• Titrate to effectIntravenous (only if life-threatening / unresponsive to IMI):• Caution – extremely dangerous and must be diluted• Continuous patient and ECG monitoring is required• Initial : 0.1mg IVI diluted slowly over 5minutes (see below)• Repeat: every 5 minutes if no clinicalimprovement• Carefully titrate to effect• Bolus dilution options:o Dilute 1mg to 10ml with N/S (i.e. 1:10 000)o Further dilute 1 ml of 1:10 000 solution to 10ml with N/S (1:100 000)o Alternatively : Dilute 2mg (1:1000) into 200 mls N/S =10µg / ml (1:100 000)Administer 10µg every 30 seconds,titrating to effect.If 10 ml is administered slowly IVinitially = 100µg = 0,1mg30 SEPTEMBER 2006