AAAAI - Choosing Wisely

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American Academy of Allergy, Asthma & Immunology - 10 Things Physicians and Patients Should Question

http://www.choosingwisely.org/doctor-patient-lists/american-academy-of-allergy-asthma-immunology/

[ajasfolks2]

Yup. #6 from their document:

Don't rely on antihistamines as first-line treatment in severe allergic reactions.


Epinephrine is the first-line treatment for anaphylaxis. Data indicate that antihistamines are overused as the first-line treatment of anaphylaxis. By definition, anaphylaxis has cardiovascular and respiratory manifestations, which require treatment with epinephrine. Overuse of antihistamines, which do not treat cardiovascular or respiratory manifestations of anaphylaxis, can delay the effective first-line treatment with epinephrine.

Epinephrine should be administered as soon as the diagnosis of anaphylaxis is suspected. Antihistamines are second-line supportive therapy for cutaneous non-life-threatening symptoms (hives), but do not replace epinephrine as the first-line treatment for anaphylaxis.

Fatalities during anaphylaxis have been associated with delayed administration of epinephrine.

[CMdeux]

Oooo-- good resource, that list!!  LIKE.   

[LinksEtc]

Tweeted by @AllergyEducator

"JAMA: Inappropriate Allergy Testing Leads to Inappropriate Management"
http://www.jsonline.com/business/pressrelease/national-press-releases/jama-inappropriate-allergy-testing-leads-to-inappropriate-management-262750051.html?ipad=y

The AAAAI now has a list of ten things physicians and patients should question as part of Choosing Wisely, an initiative of the American Board of Internal Medicine (ABIM) Foundation. This list of evidence-based recommendations is designed to help patients and physicians start conversations and make wise choices regarding the diagnosis and treatment of allergy, asthma and immunologic diseases.

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"Choosing Wisely Videos"
http://aaaai.execinc.com/videos/Choosing-Wisely-Videos.asp

The videos on this page explain the 10 items that make up the AAAAI's first and second Choosing Wisely lists.

[lakeswimr]

Nice list!