pre-hospital emergenciesAnaphylactic reactions are real, time-critical, pre-hospital emergencies and Australia has among the highest prevalence of allergic disorders in the developed world. Indeed, in Australia age-adjusted Australian hospital admission rates for anaphylaxis in children aged 04 years, increased from 39.3 to 193.8 per million/per year between the financial years 199394 and 2004OS, then increased to 288.6 per million/per year in 2009/10. It is therefore imperative that Paramedics have an excellent understanding of allergic and anaphylactic reactions.*