“AMAX4 Lecture – COMPLETE” For The Treatment Of Life-Threatening Anaphylaxis And Asthma

In addition to today’s resource, please review “Just A Routine Operation” With A Tragic Outcome – YouTube Video By Martin Brimley With Two Additional Resources
Posted on January 4, 2021 by Tom Wade MD.

Today I link to and embed the YouTube video “AMAX4 Lecture – COMPLETE” For The Treatment Of Life-Threatening Anaphylaxis. [And Asthma]

All that follows from the above outstanding resource.

Jun 5, 2023

The rationale behind this algorithm and related concepts are presented below by Dr Ben McKenzie in an hour-long lecture presentation. Ben has been a Director of Emergency Medicine Training for 10 years, a retrieval specialist for 15 years and cares about the standard of Emergency Medicine. The concepts are presented in a lecture that Ben has presented to two thirds of Victoria’s Emergency Departments and over 500 consultants and registrars. This is the complete, all-in-one, lecture video.

Previous slides.

Transcript:

[2:33] if you die from anaphylaxis uh and you’re allergic to food um it’s almost always young people and [2:39]it’s uh almost always with someone with asthma and it’s usually from bronchospasm that they die.

2:33

Transcript:

[3:09] in Sydney at Prince of Wales Hospital there was a Corona’s report delivered a [3:15] few months ago that outlines how a 20 year old with appendicitis died from [3:20] anaphylaxis in recovery to the sugammadex which he received intravenously. He had a [3:25] history of asthma not bad asthma but he died from bronchospasm so that was medication related. [3:31] Again, asthma was the the important history as a young person dying from anaphylaxis

3:40

Transcript:

anaphylaxis but actually it’s a spectrum from type one. So type 1 hypersensitivity might be mild and I’m [4:08] going to give you an example of Max and as you know Max is my 15 year old boy
sitting in his high chair adding some peanut butter and he wanted to scratch his face off so there was a trigger
5:34

Transcript:

have a mechanism for that.  And the nurses need to be engaged and be empowered to to facilitate that* because they should
[10:45] …we use these action plans (below). I’m not going to go through them but for we [10:52] expect everyone to go home with an action plan. They’re freely available on the on the ascia website (https://www.allergy.org.au/)
10:53

Transcript

10:59

Transcript:

11:50

42:09:

42:36

43:50

44:18 The Hard Stop is underlined in red:

45:05:

47:30 In asthma and in bronchospasm in anaphylaxis only an endotracheal tube will provide adequate oxygenation:

48:36

49:32

50:29

51:00

51:43

53:07

53:42

55:10

56:09

56:28

This is the summary slide for the AMAX 4 Algorithm.

The indication for this algorithm is “If unconscious needing assisted ventilation frm asthma or anaphylaxis.”

57:45 What Happened To Max

58:18 The slide below gives the start of Max’s fatal anaphylaxis.

59:04

1:00:20

1:01:13

1:04:13

 

1:06:56: How Dr. McKenzie wants us to remember his son Max.

 

 

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