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Tuesday, August 19, 2025

What to do if someone has severe allergic reaction (anaphylaxis)?


A severe allergic reaction (anaphylaxis) is a medical emergency that can be fatal within minutes if untreated. Immediate action is critical.


Recognize Anaphylaxis

  • Swelling of lips, tongue, or throat (difficulty breathing or swallowing)

  • Wheezing, chest tightness, or shortness of breath

  • Rapid, weak pulse

  • Skin reactions: widespread hives, itching, flushing

  • Dizziness, fainting, or confusion

  • Nausea, vomiting, or abdominal cramps


Step 1: Call for Emergency Help

  • Dial emergency services immediately (e.g., 911 in the US, 999 in the UK, 112 in the EU, 911/199 in Jordan).

  • Tell them it is a suspected anaphylactic reaction.


Step 2: Administer Epinephrine (Adrenaline)

  • If the person has an epinephrine auto-injector (e.g., EpiPen, Jext, Auvi-Q):

    • Remove safety cap.

    • Inject into the outer mid-thigh, through clothing if necessary.

    • Hold for about 5–10 seconds depending on the device.

  • Use immediately at the first signs of severe reaction. Do not wait.

  • If symptoms do not improve within 5–15 minutes and another injector is available, give a second dose.


Step 3: Position and Support

  • Keep the person lying down with legs raised to improve blood flow.

  • If they have trouble breathing, they may sit upright, but avoid sudden standing.

  • Keep them warm and calm.


Step 4: Monitor and Prepare for CPR

  • Check breathing and pulse continuously.

  • If the person stops breathing or has no pulse, start CPR immediately.


Step 5: Avoid Food, Drink, or Medication

  • Do not give anything by mouth.

  • Do not try to make them sit up or walk around.


If No Auto-Injector is Available

  • Call emergency services immediately.

  • Keep the person still, monitor closely, and treat for shock until help arrives.


Do Not

  • Do not wait to see if symptoms improve on their own.

  • Do not leave the person unattended.

  • Do not inject epinephrine anywhere except the outer thigh.



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