Clinical perspective debates routine emergency medical services activation after epinephrine for anaphylaxis, highlighting divergent viewpoints on resource utilization and patient safety.
The position paper, World Allergy Organization Anaphylaxis Guidance 2020,1 addressed various aspects of anaphylaxis, including acute treatment but did not provide clear guidance on when to call the Emergency Medical Services (EMS). Globally, for decades, the traditional recommendation for managing anaphylaxis has been to administer epinephrine promptly, then call EMS. Whether EMS should be activated routinely has been debated, with some considering it necessary for safe management of anaphylaxis and others viewing universal activation as unnecessary use of emergency resources when symptoms respond promptly to epinephrine.
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Sami L. Bahna (2026) studied this question.
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