Evidence map›Paper›PMID 33895231›Full record

ReviewResuscitation2021

Evidence update for the treatment of anaphylaxis.

Amy Dodd, Anna Hughes, Nicholas Sargant, Andrew F Whyte, Jasmeet Soar, Paul J Turner

Open access · hybridAbstract readReview
In one paragraph

Review in Resuscitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 5 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Singapore First Aid Guidelines 2026.Singapore medical journal · 2026
    Guideline
  2. 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 11. First aid.Clinical and experimental emergency medicine · 2026
    Guideline
  3. Guideline
  4. Clinical Practice Guideline: Immunotherapy for Inhalant Allergy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Guideline
  5. Pooled it
  6. Processionary Moth Exposure in Europe: Toxic-Irritant and Immunoglobulin E-Mediated Endotypes, Diagnosis and Management.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. IgE and non-IgE-mediated pathways in anaphylaxis.Seminars in immunopathology · 2025
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Amy DoddSevern Deanery, UK.
Anna HughesSevern Deanery, UK.
Nicholas SargantBristol Royal Hospital for Children, Bristol, UK.
Andrew F WhyteUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
Jasmeet SoarNorth Bristol NHS Trust, Bristol, UK.
Paul J TurnerNational Heart and Lung Institute, Imperial College London, UK. Electronic address: p.turner@imperial.ac.uk.
Severn Trent (United Kingdom) · GBBristol Royal Hospital for Children · GBImperial College London · GBNorth Bristol NHS Trust · GBUniversity Hospitals Plymouth NHS Trust · GB

Funding

Medical Research Council MR/K010468/1
6 · The paper itself

Abstract

The Resuscitation Council UK has updated its Guideline for healthcare providers on the Emergency treatment of anaphylaxis. As part of this process, an evidence review was undertaken by the Guideline Working Group, using an internationally-accepted approach for adoption, adaptation, and de novo guideline development based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) evidence to decision (EtD) framework, referred to as GRADE-ADOLOPMENT. A number of significant changes have been made, which will be reflected in the updated Guideline. These include: emphasis on repeating intramuscular adrenaline doses after 5 min if symptoms of anaphylaxis do not resolve; corticosteroids (e.g. hydrocortisone) no longer being routinely recommended for the emergency treatment of anaphylaxis; interventions for reactions which are refractory to initial treatment with adrenaline; a recommendation against the use of antihistamines for the acute management of anaphylaxis; and guidance relating to the duration of observation following anaphylaxis, and timing of discharge.

Indexed as

AdrenalineAnaphylaxisAntihistamineCorticosteroidsResuscitation

Identifiers

PMID33895231
PMCPMC8139870
OpenAlexW3159075974

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.