Steroids for Anaphylaxis, Medical Myth?

Written by Michael Barrie @MikeBarrieMD, OSU EM Assistant Professor

It’s clear that when a patient presents with sudden onset of a rash, wheezing, vomiting and hypotension every emergency physician knows that epinephrine is life saving. But evidence is mounting¬†against the routine administration of steroids in our patients with anaphylaxis.

Should we abandon corticosteroid administration in anaphlaxis? This month’s issue of Annals of Emergency starts that discussion with¬†Grunau et al “Emergency Department Corticosteroid Use for Allergy or Anaphylaxis is Not Associated with Decreased Relapses.”

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