A consensus parameter for the evaluation and management of angioedema in the emergency department.

Abstract

Despite its relatively common occurrence and life-threatening potential, the management of angioedema in the emergency department (ED) is lacking in terms of a structured approach. It is paramount to distinguish the different etiologies of angioedema from one another and more specifically differentiate histaminergic-mediated angioedema from bradykinin-mediated angioedema, especially in lieu of the more novel treatments that have recently become available for bradykinin-mediated angioedema. With this background in mind, this consensus parameter for the evaluation and management of angioedema attempts to provide a working framework for emergency physicians (EPs) in approaching the patient with angioedema in terms of diagnosis and management in the ED. This consensus parameter was developed from a collaborative effort among a group of EPs and leading allergists with expertise in angioedema. After rigorous debate, review of the literature, and expert opinion, the following consensus guideline document was created. The document has been endorsed by the American College of Allergy, Asthma & Immunology (ACAAI) and the Society for Academic Emergency Medicine (SAEM).

• Authors: Joseph J Moellman, Jonathan A Bernstein, Christopher Lindsell, Aleena Banerji, Paula J Busse, Carlos A Camargo Jr, Sean P Collins, Timothy J Craig, William R Lumry, Richard Nowak, Jesse M Pines, Ali S Raja, Marc Riedl, Michael J Ward, Bruce L Zuraw, Deborah Diercks, Brian Hiestand, Ronna L Campbell, Sandra Schneider, Richard Sinert, American College of Allergy, Asthma & Immunology (ACAAI), Society for Academic Emergency Medicine (SAEM)
• Journal: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (Acad Emerg Med) Vol. 21 Issue 4 Pg. 469-84 (Apr 2014) ISSN: 1553-2712 [Electronic] United States
• PMID: 24730413 (Publication Type: Consensus Development Conference, Journal Article, Practice Guideline, Research Support, Non-U.S. Gov't)
• Copyright: © 2014 by the Society for Academic Emergency Medicine.

Chemical References

• Cardiovascular Agents

Topics

• Airway Management
• Angioedema (diagnosis, epidemiology, etiology, therapy)
• Cardiovascular Agents (therapeutic use)
• Emergency Service, Hospital
• Hospitalization
• Humans
• United States (epidemiology)