In an Allergic Reaction patient, which scenario requires ALS transport?

• A. Mild hives only
• B. Obvious throat/facial swelling or shortness of breath
• C. No airway symptoms
• D. Only itching without swelling

Answer: (B)

Airway involvement in an allergic reaction is the trigger for ALS transport. When there is obvious throat or facial swelling or shortness of breath, the patient may be experiencing anaphylaxis with potential airway compromise, requiring rapid airway assessment, possible airway management, IV access, and advanced monitoring and medications en route. In contrast, mild hives, no airway symptoms, or itching alone indicate limited involvement and do not necessitate the advanced capabilities of ALS.