In suspected anaphylaxis, what is the first priority in management?

In suspected anaphylaxis, what is the first priority in management?

• A. Secure a patent airway
• B. Administer antibiotics
• C. Obtain imaging
• D. Start IV fluids only

Answer: (A)

Airway protection is the immediate priority in suspected anaphylaxis because swelling of the airway and severe bronchospasm can progress to rapid hypoxia and death. Ensuring a patent airway and delivering high‑flow oxygen buys time and makes it possible to administer life‑saving treatments like epinephrine effectively. You should act to secure the airway and support breathing now, while concurrently starting treatment for anaphylaxis. Antibiotics or imaging don’t address the imminent threat to breathing, and if hypotension is present, fluids are important but come after airway stabilization. Prepare for possible rapid airway management if signs of obstruction worsen.

Airway protection is the immediate priority in suspected anaphylaxis because swelling of the airway and severe bronchospasm can progress to rapid hypoxia and death. Ensuring a patent airway and delivering high‑flow oxygen buys time and makes it possible to administer life‑saving treatments like epinephrine effectively. You should act to secure the airway and support breathing now, while concurrently starting treatment for anaphylaxis. Antibiotics or imaging don’t address the imminent threat to breathing, and if hypotension is present, fluids are important but come after airway stabilization. Prepare for possible rapid airway management if signs of obstruction worsen.