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. 2020 Dec 11;229(11):721–728. doi: 10.1038/s41415-020-2454-1

Table 2.

Recognition of anaphylaxis using the ABCDE approach: signs and symptoms that may be present4,53

ABCDE Signs and symptoms
Airway

Swollen tongue

Difficulty swallowing/speaking

Throat tightness

Hoarse voice

Stridor

Breathing

Difficult or noisy breathing

Chest tightness

Persistent coughing

Wheeze

Tachypnoea

Circulation

Hypotension

Tachycardia

Pallor

Collapse

Disability

Feeling dizzy or faint

Confusion

Agitation

Syncope

Loss of consciousness

Exposure

Skin changes: urticarial, angioedema and erythema

Rhinitis and conjunctivitis

Abdominal pain/cramps

Nausea and vomiting

Diarrhoea

Sense of impending doom