Aim: Rapid diagnosis of anaphylaxis and prompt, appropriate therapy are a prerequisite for saving life. The aim of this study was to examine the prehospital method of diagnosis, assessment of the severity of anaphylaxis and choice of therapeutic procedures. Materials and methods: The study involved 182 patients in the Tuzla area with acute allergic reactions that met the clinical criteria for the 2006 diagnosis of anaphylaxis NIAID / FAAN (National Institute of Allergy and Infectious Diseases / Food Allergy and Anaphylaxis Network). Based on the site of treatment, in emergency medical service and primary health care clinics, patients were divided into two groups. The frequency of symptoms, the applied drugs and the final outcome of the prehospital treatment were compared. Results: A total of 182 patients were analyzed, primary health care clinics N = 118 (64.8%), emergency medical service N = 64 (35.2%). Cardiovascular symptomatology of anaphylaxis was more represented in emergency medical emergency medical department (p = 0.024). Adrenaline was administered at 9 (14.1%) patients with emergency medical care, in primary health care clinics at 22 (18.6%). Statistically is a significant difference in relation to the place of treatment. Statistically higher number of patients in emergency medical care had fluid replacement, antihistamines and glucocorticoids applied (p <0.05). Larger number of patients in emergency medical care had a volume recovery, antihistamines, glucocorticoids (p <0.05). In emergency medical department had prehospital finished treatment of anaphylaxis 53 patients with anaphylaxis (82.8%) , in primary health care clinics had 30 (25.4%). Statistically a significant number of patients from primary health care clinics refer to clinical-hospital treatment (p <0.05). Conclusion: Due to different presentation and a small number of standardized diagnostic criteria, there is no unique approach in diagnosing and treating anaphylaxis. Adrenaline must be a medication of choice in anaphylaxis. Future researches should provide precise but simple guidelines for diagnosis and therapy of anaphylaxis.

5 - Pre-hospital anaphylaxis severity and the applied therapy