Fatal posture in anaphylactic shock

      Since 1992, I have studied details of 214 deaths associated with anaphylaxis. For 196 of these deaths there is sufficient information from the descriptions of events during the reactions and autopsy findings to determine that 88 were from shock (in 38 of these, shock was combined with difficulty breathing), 96 were from asphyxia (lower airway, 49; upper airway, 22; upper and lower airways or airway unspecified, 25), 7 were from complications of disseminated intravascular coagulation, and 5 were from the effects of epinephrine overdose.
      • Pumphrey RSH.
      Lessons for the management of anaphylaxis from a study of fatal reactions.
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