Anita garcia, 17 years old, and her roommate rosa rosario were celebrating a friend’s birthday at a dessert buffet at a local restaurant when anita developed acute dyspnea, and angioedema. she complained of an itchy rash, and then had difficulty swallowing. rosa drove anita to the emergency room two blocks away rather than wait for an ambulance. as they approached the hospital, anita lost consciousness. this medical emergency would most probably result in immediate before any subsequent treatment.