What is the emergency protocol for suspected anaphylaxis in athletes during a game?

• A. Recognize symptoms, administer epinephrine auto-injector per guidelines, call EMS, monitor, repeat dose if needed and within guidelines
• B. Wait for EMS to arrive
• C. Only administer antihistamines
• D. Do nothing

Answer: (A)

Recognize that suspected anaphylaxis can progress rapidly and is life-threatening, so treatment must be immediate. The first-line action is to administer epinephrine right away using an auto-injector, following the device’s instructions and age/weight guidelines (usually into the mid-outer thigh). After giving the dose, activate emergency medical services and continue to monitor the athlete’s breathing, circulation, and level of consciousness. If symptoms persist or recur, a second dose can be given within guideline-recommended intervals. Antihistamines or waiting for EMS delay treatment and do not reverse the dangerous airway or circulatory problems, so they are not a substitute for epinephrine. In a game, clearly designate who administers the shot, who calls for help, and who monitors the athlete, ensuring rapid, coordinated action. If the person becomes unresponsive or stops breathing, begin appropriate emergency care while help arrives.