Response to: Heparin reverses anaphylactoid shock in a porcine model.

摘要

A chill went down my spine as I read the brief research report by Heflin et al that appeared in the August 2006 issue ofAnnals of Emergency Medicine describing how heparin rapidly reversed anaphylactoid shock in a porcine model.1 My reading followed an interesting clinical case of a 54-year-old emergency department (ED) registered nurse who had medicated herself with a diuretic at the beginning of her shift for leg edema. By early afternoon she was complaining of itching and concern of an allergic reaction. Like the terrible patients we health care providers can be, she elected a self-trial of Benadryl rather than check herself in as a patient, as advisld. In an already overloaded busy shift she hated, I'm sure, to "bother us." The ED in question is a freestanding facility with no inpatient critical care resources.