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Anaphylaxis emergency grades

Anaphylaxis emergency grades for communicating with emergency healthcare providers: Source

TODO: UPDATE

Grade 1 - mild local reactions

  • For example any of: hives, rash, redness, itching, swelling, swelling of mouth/throat where the person can still breathe well.

Grade 2 - moderate - skin & gastrointestinal systemic reactions

  • Any of the above, plus systemic reactions without cardiovascular and/or respiratory and/or neurological involvement.

  • Skin examples: urticaria (hives), angioedema (deep skin swelling), flush.

  • Gastrointestinal examples: abdominal pain, upset stomach, nausea, vomiting, acid reflux, diarrhea.

Grade 3 - severe - cardiovascular & respiratory & neurological systemic reactions

  • Any of the above, plus systemic reactions with cardiovascular involvement and/or respiratory involvement.

  • Moderate cardiovascular examples: moderate bradycardia/tachycardia (low heart rate or high heart rate), moderate hypotension/hypertension (low blood pressure or high blood pressure).

  • Moderate respiratory examples: moderate hypoxia (SaO2 92-95%), bronchospasm, cough, wheezing, stridor aka high-pitch sound due to constricted airways, moderate dyspnea (labored breathing, or sensation of running out of air).

  • Moderate neurological examples: moderate confusion, dizziness, anxiety, brain fog, presyncope (feeling you might faint).

  • Severe cardiovascular examples: shock, profound bradycardia/tachycardia, profound hypotension/hypertension, cardiovascular collapse.

  • Severe mental examples: syncope (fainting), loss of consciousness, loss of feeling in the body, blurred vision, seizures.

  • Severe respiratory examples: hypoxia (SaO2 < 92%), objective dyspnea, pain or disfunction of accessory muscles of respiration.

Grade 4 - arrest aka "code blue"

  • Cardiovascular arrest

  • Respiratory arrest