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Posted on: Fri, 07/30/2004 - 1:12pm
synthia's picture
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Joined: 10/05/2002 - 09:00

[b]Hi Peg,how's your ds doing in collage?
I hope you don't mind if I ask a few ?
I am trying to clarify somthing for my own peace of mind.[/b]
Anaphylaxis causes decreased vascular smooth muscle tone. One of the things of anaphylaxis. If your vascular system (veins and arteries) lose their muscle tone they are unable to pump the blood back into your heart.
[b] Would this cause a bruise like look on the skin?[/b]
Anyone suffering anaphylaxis could experience a drop in blood pressure caused by decreased
vascular smooth muscle tone. Therefore you should get that person down,[b] Could this be why some person would what to lie down and possiable not respond.[/b]
Thank you for this It really does help me understand.
Love this site
Synthia

Posted on: Fri, 07/30/2004 - 3:48pm
Peg541's picture
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Joined: 12/29/2002 - 09:00

Quote:Originally posted by synthia:
[b]
[b]Hi Peg,how's your ds doing in collage?
I hope you don't mind if I ask a few ?
I am trying to clarify somthing for my own peace of mind.[/b]
I'll update his college thread.
Anaphylaxis causes decreased vascular smooth muscle tone. One of the things of anaphylaxis. If your vascular system (veins and arteries) lose their muscle tone they are unable to pump the blood back into your heart.
[b] Would this cause a bruise like look on the skin?[/b]
I'm not too sure about that Synthia. The real answer is as always use the epi pen, call 911. Don't think too much about symptoms, just use the epi pen.
Anyone suffering anaphylaxis could experience a drop in blood pressure caused by decreased
vascular smooth muscle tone. Therefore you should get that person down,[b] Could this be why some person would what to lie down and possiable not respond.[/b]
Yes and again you have used epi pen and are waiting for the ambulance.
Thank you for this It really does help me understand.
Love this site
Synthia[/b]

Posted on: Sat, 07/31/2004 - 1:09am
MommaBear's picture
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Joined: 09/23/2002 - 09:00

for those wondering about possible airway compromise due to positioning vs. interventions performed to maximizing cardiac output. I mean, as with many things in emergency care there is hierarchy. And, as with many things in healthcare, needs may [i]compete[/i]. It's a [i]process[/i]. Assessment, Evaluation, Intervention as Indicated, [i]Re-assessment[/i] to achieve homeostasis. And along the way [i]teaching[/i], preparing..............
..........There are, in many instances, ways to possibly [i]level the playing field[/i] and achieve homeostasis. Interventions I mean.
One method of airway protection is through intubation performed by appropriate [i]qualified[/i] persons in conjunction with other devices and interventions.
Sometimes prophylactically when indicated.
I mean, there are many different EMS systems, but I wouldn't be and am not surprised to find similiarities in algorithms, PPP, SoP.
Peg451: Hi!! (glad to see you posting.) [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
Disclaimer: I am not offering advice in any manner or form.

Posted on: Sat, 07/31/2004 - 3:31am
Peg541's picture
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Joined: 12/29/2002 - 09:00

I am more concerned what people do BEFORE the paramedics arrive.
Before they arrive if a person is having difficulty breathing there is little a helper can do.
Always assuming an epi pen has been used.
[b]ALWAYS[/b]
For the person waiting for EMS to arrive making a decision to keep the person flat in the face of respiratory difficulty is a difficult decision.
Like I said. Somewhat flat so their chest can be a bit raised to facilitate breathing yet their legs can be flat or raised to facilitate return of blood to the heart and brain.
Again, not advice but common sense really.
Peggy

Posted on: Sat, 07/31/2004 - 5:59am
synthia's picture
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Joined: 10/05/2002 - 09:00

Thank you Peg541!
Love this site
Synthia

Posted on: Sat, 07/31/2004 - 6:04am
MommaBear's picture
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Joined: 09/23/2002 - 09:00

Quote:Originally posted by Peg541:
[b]I am more concerned what people do BEFORE the paramedics arrive.
[/b]
never said I wasn't, either. [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img]
But, I'm just as concerned about calling the paramedics/emergency system available.
[b]Chain of Life[/b] Thing.
From what I have read, many hesitate to call an ambulance. I mean, could it be because they aren't aware of what interventions might be necessary? (Among other reasons)
You also posted:
[b]"Before they arrive if a person is having difficulty breathing there is little a helper can do."[/b]
Hmmmmmmmmmm. I have a lot instances in my memory where interventions, however simple or even brief performed even prior to professional first responders [b]were critical in turning the tide[/b]. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
Was just saying: "Hi!!", Peg............ [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Sat, 07/31/2004 - 6:21am
Peg541's picture
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Joined: 12/29/2002 - 09:00

I am trying to keep this simple so people can remember. This is what I have been saying.
Use the epi pen.
Call 911
Do what you can to help the person be comfortable as far as breathing and blood pressure are concerned. While you wait for 911 (EMS) to arrive.
You might have to choose to keep their head up if that eases their breathing. At that point you might consider keeping their legs flat or raised to facilitate blood flow back to the heart and brain.
I mentioned this is common sense, common sense for those of us (most of us) who have prepared themselves for this eventuality.
This is all I will say on the subject.
Peg

Posted on: Sat, 07/31/2004 - 6:28am
MommaBear's picture
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Joined: 09/23/2002 - 09:00

Quote:Originally posted by Peg541:
[b]
I mentioned this is common sense, common sense for those of us (most of us) who have prepared themselves for this eventuality.
[/b]
"Hi!!", Peg..........

Posted on: Sat, 07/31/2004 - 6:34am
MommaBear's picture
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Joined: 09/23/2002 - 09:00

Hoping it's still ok to contribute to "The Big Picture".....
I guess what stood out for me was the idea of airway obstruction [i]for whatever reason[/i], impaired gas exchange, and cardiovascular collapse.
I mean, all moral/ethical judgements aside, those conditions can [i]take lives[/i]. [b]Quickly.[/b] From anyone.
When I read the article, I was overwhelmed by the [i]urgency[/i] depicted. I felt my heart rate step up...............

Posted on: Mon, 03/28/2005 - 3:29am
Jooser's picture
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Joined: 02/22/2005 - 09:00

From what I have learned in my Physiology classes, this article makes perfect sense. Its good to see confirmation of this.

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