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Anaphylaxis, Sports Medicine

Kristina Wilson, MD, MPH, FAAP, CAQSM Reviewed 04/2019


  • The causative agent in anaphylaxis remains unknown in up to 1/3 of cases.

  • Food is the most common causative agent (about 1/3 of known cases) in children.

  • Pharmacotherapeutic agents are the most c...


  • Diagnosis is made based on clinical symptoms:

    • Do not underestimate the potential severity of an allergic reaction in its early stages.

    • Symptoms may progress rapidly.

  • Suspicion of anaphylaxis re...


  • Prehospital:

    • Airway, breathing, and circulation (ABCs)

    • Remove trigger (i.e., stinger from insect).

    • Early administration of epinephrine intramuscular (IM) in the anterolateral thigh positively a...


Lieberman P, Camargo CAJr, Bohlke K, et al. Epidemiology of anaphylaxis: findings of the American College of Allergy, Asthma and Immunology Epidemiology of Anaphylaxis Working Group. Ann A...


  • Liberman DB, Teach SJ. Management of anaphylaxis in children. Pediatr Emerg Care.  2008;24(12):861–866.

  • Lieberman P. Epidemiology of anaphylaxis. Curr Opin Allergy Clin Immunol....


  • Epinephrine is the undisputed initial therapy for anaphylaxis, and its administration should never be delayed.

  • There are no specific tests to make the diagnosis of anaphylaxis, and eval...

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