Prompt #77Emergency
Prompt 77: The Allergic Reaction Triage
When to use it
Baby/child is having an allergic reaction and you need to know if it's anaphylaxis, what to do, and when to call 911.
The Prompt
My child is [AGE] and is having an allergic reaction. [WHAT I'M SEEING — e.g., "hives" / "swollen lips" / "vomiting" / "trouble breathing" / "I just gave them [food/drug] and now [symptoms]"].
I need to triage this NOW.
My situation:
- Age: [E.G., "7 months" / "18 months" / "3 years" / "6 years"]
- Trigger: [E.G., "peanut butter (first time)" / "second dose of amoxicillin" / "bee sting" / "unknown" / "known food allergy"]
- What I'm seeing: [E.G., "hives on face and body" / "lip swelling" / "vomiting" / "wheezing" / "passed out"]
- When symptoms started: [E.G., "just now" / "5 min ago" / "20 min ago" / "1 hr ago"]
- Have I given anything: [E.G., "no" / "Benadryl" / "I have an EpiPen" / "I used the EpiPen"]
- Have I called 911: [E.G., "yes" / "no" / "I need to"]
Please give me:
1. The 'anaphylaxis' red flags (when this is life-threatening)
2. IMMEDIATE action (the first thing in the next 60 seconds)
3. The EpiPen protocol (if available, when to use)
4. Benadryl: when it helps, when it doesn't
5. What to do AFTER the EpiBen
6. When to call 911 (almost always with suspected anaphylaxis)
7. What to watch for in the next 4-24 hours (biphasic reaction)
8. The 'go to ER even if they seem fine' rule
Important: I want a clear decision, not a list.Example output
*"Anaphylaxis red flags: trouble breathing, wheezing, throat tightness, lip/tongue swelling, vomiting + hives, pale/floppy, loss of consciousness. ANY of these = 911 + EpiPen. IMMEDIATE: If you have an EpiPen — USE IT (lateral thigh, hold 3 sec, rub site 10 sec, note time). If no EpiPen — call 911, give Benadryl if alert + >2 yrs (dose by weight), keep child lying flat with legs raised (if breathing OK) or sitting up (if breathing is hard). Benadryl helps mild reactions but does NOT stop anaphylaxis. AFTER EpiPen: 911 (always, even if they seem fine), second EpiPen if symptoms worsen in 5-15 min, ER evaluation (biphasic reaction can happen 4-24 hrs later). Rule: any anaphylactic reaction = ER visit, even if resolved with EpiPen. Children often need observation for several hours."*
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