I responded to a reported unconscious person at 110th St. and Lenox ave. Upon our arrival, a fire engine and two police cars were already on scene searching for the patient. Something to note about unconscious calls, they are almost always not unconscious when you arrive. A legitimate unconscious call will likely be traiged by 911 as an arrest, or a drug (overdose), or something similar. So we see a person walking not so straight somewhat hunched over and start walking towards him. An ALS ambulance shows up and since the patient likely had altered mental status, this was an ALS call that did not need a BLS backup (not to mention the fact that this is kind of a waste of resources type of call) so we let them handle this. After we handed over care, we hear a police officer calling for central (dispatch) to “rush a bus” meaning I have a serious patient I need an ambulance for quickly. Being that we carry police radios, we asked them to repeat the location which was Conservatory Garden just a few blocks from where we were. We started responding and arrived to find a 19 y/o female patient who looked white as a ghost—extremely concerning. Paramedics show up at the same time as us but we are all the way in the park so we pull out our stretcher in anticipation that we will be transporting the patient with paramedics on board. The patient’s mother states that the patient was stung by a bee and had a bad reaction and was prescribed epinephrine at the time but no longer carries her epi-pen. At this point the obvious course of treatment is for anaphylactic shock. As a BLS provider that would mean .3 mg of 1:1000 epinephrine (adrenaline) IM. However, the paramedics have the option of using diphenhydramine aka Benadryl IM. Before administering these you want to get a quick history to make sure you can pass information onto higher levels of care and ensure that your course of treatment is correct. This includes a blood pressure, a very important vital sign because of the concern for shock it was around 118/80 (normal). The patient says she is not currently having trouble breathing but is having trouble swallowing, meaning she is a few minutes from her throat closing up completely. The paramedics administer Benadryl IM and the patient says she immediately felt a little better. However, her blood pressure had dropped to 90/70 by this point. Time to go. By the time we were at the hospital the patient was in much better condition, receiving fluids to help dilute whatever was in her blood and also keep her blood pressure up. As is the case with a lot of the most interesting stories I have, a couple extra minutes and our patient would have been dead.