Management of Pediatric Anaphylaxis in the Emergency Department in Low-Resource Settings: A Narrative Review

This review aims to evaluate management strategies for pediatric anaphylaxis in emergency departments, particularly in low-resource settings. It focuses on the challenges faced, such as limited access to medications, inadequate training, and insufficient diagnostic tools, and explores potential solutions to improve patient outcomes.

Timely recognition and administration of intramuscular epinephrine remain the cornerstone of effective anaphylaxis management. However, in low-resource settings, delayed administration is common due to various constraints, resulting in poorer outcomes. Recent studies highlight task shifting, telemedicine, and community education as promising strategies to mitigate these challenges. These approaches have shown potential in enhancing preparedness and improving response times, even in resource-limited environments.

Effective management of pediatric anaphylaxis in low-resource settings necessitates rapid intervention and innovative solutions to overcome resource constraints. Task shifting, telemedicine, and public health initiatives are crucial for improving preparedness and outcomes. Policymakers should prioritize these efforts to support underserved areas, ensuring that pediatric patients receive timely and effective care during anaphylactic emergencies.