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Understanding Diagnostic Criteria for Anaphylaxis, Anaphylactic Shock, Kounis Syndrome Critical to Initiating Lifesaving Treatment

By Anton Helman, MD, CCFP(EM), CAC, FCFP | on September 13, 2016 | 1 Comment
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Explore This Issue
ACEP Now: Vol 35 – No 09 – September 2016

Pages: 1 2 3 4 | Single Page

Topics: Anaphylactic ShockAnaphylaxisDiagnosisDiagnostic CriteriaED Critical CareEmergency DepartmentEmergency MedicineEmergency PhysicianEpinephrineHypotensionKounis SyndromePatient CareRespiratorySteroidsTreatment

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One Response to “Understanding Diagnostic Criteria for Anaphylaxis, Anaphylactic Shock, Kounis Syndrome Critical to Initiating Lifesaving Treatment”

  1. March 20, 2018

    Mutsuhito Kikura, MD Reply

    Thank you very much for your important information.
    We definitely need a conventional diagnostic criteria for Kounis syndrome to start an urgent therapy with epinephrine and subsequent coronary interventions. Kounis sydrome can occurr in cerebular vasculature to induce ischemic stroke.
    We have experienced several cases of Kounis syndrome after administering muscle relaxant, reversal agent of muscle relaxant:sugammadex in Japan, especially around 60 years old of man without coronary diseases, indicating kounis type 1.
    We will make an effort on making a conventional diagnostic criteria and therapeutic guideline in the future.
    Thank you very much for your information and kind considerations.

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