_ y/o patient presenting with allergic rxn/ anaphylaxis likely due to _. Patient presented with respiratory distress_ urticaria _ and GI symptoms. Patient immediately received epinephrine IM, benadryl IM/ IV, methylprednisolone IV, famotidine IV/PO. After receiving epi pt was tachycardic but that subsided. Patient’s respiratory distress improved after medication. Given sudden onset shortness of breath considered other diagnosis including foreign body aspiration (symmetric breath sounds), asthma exacerbation (unlikely given no hx of asthma and rash as well as rapid onset), and infection (pt not febrile and symptoms improved with anaphylaxis treatment). Will DC home with rx for epi-pen given that they have been symptoms free for at least 4 hours from initial presentation. Instructed to avoid offending agents and to follow up with an allergist for skin testing. _ Patient will be admitted given the severity of their initial presentation and since they _he/she required repeated doses of epinephrine IM or had poor response to initial treatment.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol