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Old 12-05-2008, 19:11   #16
shr7
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Join Date: Dec 2007
Location: Pittsburgh PA
Posts: 50
Quote:
Originally Posted by Boomer-61 View Post
• Anaphylaxis is one of the true medical emergencies that a provider will likely see in the wilderness. You should always have a method available to treat the anaphylactic patient. At a minimum you should have injectable epinephrine, such as the Twinject or EpiPen®, antihistamines, albuterol inhaler, and oral steroids.
Boomer
I would make special mention of this. You mentioned you may be as far as 45 mins. away from care. Just an Epi-pen won't get you there.

Also about the section on antibiotics. It may be tempting to write them off as "non life saving" in an emergent condition, but early empiric therapy with appropriate antibiotics has been well established to save lives. (Proven in a much different population, of course, but the principle holds true.) For the person who goes down with a nasty infection at 1am, when you can't evacuate the area until 5am, early antibiotics could save their life.

SR
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