What is the proper response to moderate allergic reactions like hives?

In the case of moderate allergic reactions such as hives, close observation and monitoring is essential. This approach allows healthcare providers to assess the progression of the reaction and determine if it worsens or resolves. Monitoring involves checking vital signs, observing for symptoms of respiratory distress, swelling, or other changes that could indicate a more severe reaction requiring further intervention.

While mild antihistamines may be beneficial in alleviating symptoms, they are not typically administered in an emergency setting by EMTs unless directed by medical protocols and a medical control doctor. High doses of epinephrine are more appropriate for severe allergic reactions or anaphylaxis, where there is a risk of life-threatening symptoms like airway obstruction or significant cardiovascular compromise. Calling for immediate medical transport can seem appropriate, but in cases where symptoms are stable and moderate, observation is often sufficient until medical professionals are able to assess further.

Thus, closely monitoring the patient is the best course of action for moderate allergic reactions to ensure safety and appropriateness of care.