@alexlewis what about tagging it beyond medical school level? @braviboron thoughts?
@neurotherapy @alexlewis I don’t love the card. I think it would be reasonable to say what is the mainstay of management of … where the answer is nebulised adrenaline, steroids IV or PO, nebulised salbutamol +/- definitive airway management.
But I agree in the current form I don’t think it has a place. The only other consideration is whether we would consider keeping it but removing other tags, and having it solely be tagged for On Call. This may be worth @Stapedius 's thoughts.
On further inspection, I would support the inversion of nid:1782481881470, which this card could be converted into as suggested.
@braviboron @neurotherapy This issue with that card not only that this is beyond medical school, it is that it is far too prescriptive.
As a junior you would be extremely unlucky if you were independently managing laryngeal oedema.
The particular management here is one of many possible reasonable actions, with the first step being to deliver IM adrenaline, which this card omits. Where there are multiple possible managements, I think it is more important to explain how and why certain decisions might be made rather than to rigidly teach “this is the management”. Note also that steroids are contentious in anaphylaxis, and ASCIA says they basically have no role in acute anaphylaxis.
The card that partially replaces this (nid:1782481881470), is superior because it stays within the med school/junior scope and merely exposes the learner to the possibility of using nebulised adrenaline, and why it might get used.
For all of those reasons, the card should be deleted
Agree ![]()
Ok, so are we resolved? @neurotherapy