Fulfil 1 of 3 criteria

1-Acute onset with involvement of skin/ mucous membrane

AND one of below

  • a-Respiratory symptom( wheeze/ stridor)
  • b-End organ dysfunction( Hypotension/ syncope)

2- Two or more of following

  • a- Involvement of skin/ mucous membrane
  • b-Respiratory dysfunction
  • c-Gastrointestinal symptoms
  • d-End organ dysfunction

3- Reduced BP

  • Infants < systolic BP or 30% drop in systolic BP
  • Adults- systolic BP < 90 mm Hg or > 30% drop from baseline

*J Allergy Clin Immunol 117: 391


Capture1At discharge

Discharge with EPIPEN (>30 kg) and Epi-Pen Junior (<30kg) with specific instructions

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