Anaphylaxis before and after the emergency

Size: px
Start display at page:

Download "Anaphylaxis before and after the emergency"

Transcription

1 Anaphylaxis before and after the emergency Mike Levin Paediatric Asthma and Allergy Division University of Cape Town Red Cross Hospital

2 Why is this important? Increasing in frequency Risk of death Effects of quality of life Lacks of data of public education of support for people with allergies of legislation

3 Anaphylaxis a sudden, severe, potentially fatal, systemic allergic reaction. skin, respiratory tract, gastrointestinal tract, and cardiovascular system. Symptoms occur within minutes to two hours after contact with the allergycausing substance.

4 Anaphylaxis Many systems can be involved: skin, gut, airways, circulatory system Must recognise mild versus severe reactions

5 Skin Reactions Urticaria Angioedema Itching, redness and flushing Immediate worsening of eczema

6 Reactions in the Gut UPPER GIT Angioedema of the lips, tongue, or palate Oral itching LOWER GIT Nausea Colicky abdominal pain Vomiting Diarrhoea

7 Reactions in the Airways UPPER RESPIRATORY TRACT Hoarseness Dry staccato cough Swelling of the larynx Stridor Blocked nose Itchy, runny, sneezy nose

8 Reactions in the Airways LOWER RESPIRATORY TRACT Cough Chest tightness Shortness of breath Wheezing

9 Reactions in the Eyes Itching Redness Tearing Swelling around the eyes

10 Neurological Signs Change in activity level Anxiety Feeling of impending doom Dizziness Loss of Consciousness

11 Circulatory System Tachycardia Hypotension End-organ dysfunction: Dizziness Fainting Loss of consciousness

12 Manifestations Urticaria, angioedema 88 % Upper airway oedema 56 % Wheeze, dyspnoea 47 % Flush 46 % Many others far lower % Shock.. very rare But may be fatal

13 Variation in manifestations Skin involvement progressing to additional systems Multiple systems involvement without skin / mucous membranes Hypotension only shock, seizures, syncope Bradycardia Myocardial infarction Venticular tachycardia

14 Clinical criterion 1

15 Clinical criterion 2 Known allergic patient exposed to likely allergen

16 Clinical criterion 3 Reduced BP occurring rapidly after exposure to known allergen for that patient

17 Clinical diagnosis Skin PLUS resp or CVS or Likely allergen with TWO of Skin Resp CVS GIT or Known allergen with reduced BP

18 Risk factors for fatal anaphylaxis Previous anaphylactic reaction History of asthma Current poor asthma control Reactions with trace exposure Peanut > age 5 Adolescents Remote from medical help

19 Emergency treatment 1. Recognise that the child may be reacting 2. Recognise how bad the reaction is 3. Treat accordingly

20 Action Plan for anaphylaxis MILD TO MODERATE ALLERGIC REACTION Swelling of lips, face, eyes Hives or welts Tingling of the mouth Itchy feet or palms of hands Abdominal pain, vomiting

21 Action Remove allergen or sting Give Anti-histamine Stay with the person and call for assistance Locate the EpiPen or Adrenaline Contact parents or ambulance

22 Watch for signs of anaphylaxis: Difficult / noisy breathing Swelling of tongue Swelling, tightness of throat, throat clearing Difficulty in talking and/or hoarse voice Wheeze or persistent cough Persistent dizziness or collapse Very anxious Pale and floppy (young children)

23 Action Lay person flat - they should not stand or walk, if breathing is difficult allow to sit up Administer Adrenaline Start going to an emergency room by Ambulance or car Contact parent/emergency contact Further adrenaline doses may be given if no response after 5 min

24 S/C vs IMI IMI S/C 2136 pg/ml tmax minutes 1802 pg/ml tmax minutes Simons, F.E.R., Gu, X., Roberts, J.R., Simons, K.J. Epinephrine absorption in children with a history of anaphylaxis. J. Allergy Clin. Immunol. 1998;101:33-37.

25 EpiPen Adrenaline Auto-injector

26 Adrenaline ampoule with syringe and needle

27 Vial & Syringe Parents slower than doctors / nurses Parents doses varied 40 fold!! Parents times 140 secs secs Simons FER, Chan ES, Gu X, Simons KJ. Epinephrine for the out-of-hospital (first aid) treatment of anaphylaxis in infants: is the ampule/syringe/needle method practical? J Allergy Clin Immunol 2001;108:1040-4

28 EpiPen Junior - 0,15mg or EpiPen - 0,3mg? EpiPen Junior If the child s weight is between 8 and 25kg EpiPen When the child s weight reaches 25 to 30kg

29 When to use adrenaline ampoules 8 Kg or under: EpiPen Junior dose too large Very over weight: EpiPen dose too small (or use 2 epipens) Very Obese EpiPen needle too short Financial constraints

30 If in doubt... Give The EpiPen or Adrenaline!

31 Risk reduction Death from anaphylaxis is rare, but completely preventable Avoid foods: Carry emergency medication: Communication:

32 Risk reduction Death from anaphylaxis is rare, but completely preventable Avoid foods: dietician, ensure nutrition Carry emergency medication: Communication:

33 Risk reduction Death from anaphylaxis is rare, but completely preventable Avoid foods: dietician, ensure nutrition Carry emergency medication: epipen or vial / syringe Communication:

34 Risk reduction Death from anaphylaxis is rare, but completely preventable Avoid foods: dietician, ensure nutrition Carry emergency medication: epipen or vial / syringe Communication: Medic alert, action plans

35

36 Avoid foods Dietician, ensure nutrition Educate the family on how to avoid foods. Provide alternatives Age appropriate education of children regarding sharing food, avoiding food Develop an individualised health care plan for each environment regarding sharing food, identified safe areas or completely food (peanuts usually) free school.

37 Carry emergency medication Training about when to give medication Training about how to give medication Provide a second device for alternate homes, school, preschool or childcare Store adrenaline appropriately: safely, accessible, out of direct heat/light If carried by child preferably be in specified location: pocket, bag, beltbag, pouch.

38 Communication Individualised (signed) action plan, including photo Medic alert Notify school principal or preschool supervisor and teacher Individualised health care plan for environment Training of alternative caregivers, school staff

39 Allergy Society of South Africa Information for patients Anaphylaxis Food Allergy overview Specific foods (Egg, Soy, Peanut, Wheat, Milk, Fish and Seafood) Bee and Wasp Allergy Information for doctors Treatment of Anaphylaxis Anaphylaxis Action Plan Anaphylaxis Emergency Instructions

40

Anaphylaxis Management. Pic 1 Severe allergic reaction which led to anaphylaxis

Anaphylaxis Management. Pic 1 Severe allergic reaction which led to anaphylaxis 1 Anaphylaxis Management Pic 1 Severe allergic reaction which led to anaphylaxis What is an allergic reaction? 2 An allergy is when someone has a reaction to something (usually a protein) which is either

More information

EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR

EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR I. GENERAL GUIDELINES EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR A. PURPOSE To counteract a severe allergic reaction (anaphylaxis) to a foreign substance as prescribed by the licensed

More information

Anaphylaxis. Exceptional healthcare, personally delivered

Anaphylaxis. Exceptional healthcare, personally delivered Anaphylaxis Exceptional healthcare, personally delivered 2 Introduction Anaphylaxis (also known as anaphylactic shock) is a severe, potentially fatal allergic reaction. Anaphylaxis is caused by your body

More information

Aim To identify the signs and symptoms of anaphylaxis and provide emergency care.

Aim To identify the signs and symptoms of anaphylaxis and provide emergency care. Community Health Policies, Procedures and Guidelines Procedures Aim To identify the signs and symptoms of anaphylaxis and provide emergency care. Equipment Adrenaline autoinjectors: o EpiPen Jr or Anapen

More information

Policy: Anaphylaxis PURPOSE. Rationale. Procedure

Policy: Anaphylaxis PURPOSE. Rationale. Procedure Policy: Rev Oct 14 PURPOSE (PCCC) is committed to the safety, wellbeing and inclusion of all children enrolled in its services. PCCC will ensure all staff involved in the delivery of services to children

More information

Section I New Policy with copy of updated Epipen Order, and protocol. Section II Anaphylaxis Management Algorithm

Section I New Policy with copy of updated Epipen Order, and protocol. Section II Anaphylaxis Management Algorithm Anaphylaxis Policy Contents Section I New Policy with copy of updated Epipen Order, and protocol Section II Anaphylaxis Management Algorithm Section III Demonstration of Epipen use for all staff members

More information

This annual data report demonstrates findings consistent with previous reports:

This annual data report demonstrates findings consistent with previous reports: DATA HEALTH BRIEF: EPINEPHRINE ADMINISTRATION IN SCHOOLS Massachusetts Department of Public Health Bureau of Community Health Access and Promotion School Health Unit August 1, 29 July 31, 21 (School Year

More information

Immunology, J Allergy Clinical Immunology 1998; Vol.102, No. 2, 173-175.

Immunology, J Allergy Clinical Immunology 1998; Vol.102, No. 2, 173-175. DATA HEALTH BRIEF: EPINEPHRINE ADMINISTRATION IN SCHOOLS Massachusetts Department of Public Health Bureau of Community Health Access and Promotion School Health Unit August 1, 21 July 31, 211 (School Year

More information

Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel

Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel Developed by the Connecticut State Departments of Education and Public Health in consultation with the Connecticut School

More information

Get Trained. A Program for School Nurses to Train School Staff in Epinephrine Administration

Get Trained. A Program for School Nurses to Train School Staff in Epinephrine Administration A Program for School Nurses to Train School Staff in Epinephrine Administration The Get Trained School Nursing Program was created through an unrestricted grant from Mylan Specialty. The Program is intended

More information

Administering epinephrine for acute anaphylactic type allergic reactions

Administering epinephrine for acute anaphylactic type allergic reactions Administering epinephrine for acute anaphylactic type allergic reactions Training for first aiders in schools People known to be allergic (1.5 hours) MAJ-2013-2 2 Goal of program Reduce the morbidity and

More information

Adapted from the Ministry of Education BCSTA website. Interior Health

Adapted from the Ministry of Education BCSTA website. Interior Health Adapted from the Ministry of Education BCSTA website Interior Health July 2013 WHAT IS AN ALLERGY? Allergies occur when the immune system becomes unusually sensitive and overreacts to common substances

More information

ALLERGIC REACTIONS. Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary

ALLERGIC REACTIONS. Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary ALLERGIC REACTIONS Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary STATISTICS Allergic reactions affect up to 15 million people in the United States, including

More information

Anaphylaxis and other adverse events

Anaphylaxis and other adverse events Anaphylaxis and other adverse events Aim: To be able to manage anaphylaxis and other adverse events correctly Learning outcomes Define local and systemic adverse events Distinguish between anaphylaxis

More information

The administration of epinephrine for severe anaphylactic type allergic reactions. Training for Québec first aiders 2008

The administration of epinephrine for severe anaphylactic type allergic reactions. Training for Québec first aiders 2008 The administration of epinephrine for severe anaphylactic type allergic reactions Training for Québec first aiders 2008 2 Acknowledgements AQAA St-John Ambulance Canadian Red Cross CSST Québec Heart and

More information

Anaphylaxis: a severe, life threatening allergic reaction usually involving swelling, trouble breathing, and can progress to shock

Anaphylaxis: a severe, life threatening allergic reaction usually involving swelling, trouble breathing, and can progress to shock Allergy is a condition in which the immune system causes sneezing, itching, rashes, and wheezing, or sometimes even life-threatening allergic reactions. The more you know about allergies, the better prepared

More information

Anaphylaxis: Treatment in the Community

Anaphylaxis: Treatment in the Community : Treatment in the Community is likely if a patient who, within minutes of exposure to a trigger (allergen), develops a sudden illness with rapidly progressing skin changes and life-threatening airway

More information

Allergy Action Plan For the 2015-2016 School Year

Allergy Action Plan For the 2015-2016 School Year Allergy Action Plan Student s Name: DOB Grade ALLERGY TO: Asthmatic: Yes*[ ] No [ ] *Higher risk for severe reaction! STEP 1 TREATMENT Symptoms: Give checked medication To be determined by physician authorizing

More information

LIFE-THREATENING ALLERGIES POLICY

LIFE-THREATENING ALLERGIES POLICY CODE: C.012 Program LIFE-THREATENING ALLERGIES POLICY CONTENTS 1.0 PRINCIPLES 2.0 POLICY FRAMEWORK 3.0 AUTHORIZATION 1.0 PRINCIPLES 1.1 Halifax Regional School Board will maximize the safety of students

More information

Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription

Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription Introduction The aim of these guidelines is to outline the appropriate prescription of adrenaline (epinephrine)

More information

Protocol and Procedures for the Emergency Administration of Epinephrine

Protocol and Procedures for the Emergency Administration of Epinephrine M a r i n C o u n t y O f f i c e o f E d u c a t i o n 1111 Las Gallinas Avenue San Rafael California 94903 415-472-4110 Fax: 415-491-6625 www.marinschools.org School District: Protocol and Procedures

More information

Clinical Performance Director of Nursing Allison Bussey

Clinical Performance Director of Nursing Allison Bussey PGD 0314 Patient Group Direction Administration of Adrenaline (Epinephrine) 1:1000 (1mg/ml) Injection By Registered Nurses employed by South Staffordshire & Shropshire Healthcare Foundation NHS Trust This

More information

It is recommended that auto-injector device trainers of each type be available for practice

It is recommended that auto-injector device trainers of each type be available for practice NASN Get Trained- PA Edition Script A Program for School Nurses to Train School Staff in Epinephrine Administration The Get Trained School Nursing Program was created through an unrestricted grant from

More information

CHAPTER 21 QUIZ. Handout 21-1. Write the letter of the best answer in the space provided.

CHAPTER 21 QUIZ. Handout 21-1. Write the letter of the best answer in the space provided. Handout 21-1 QUIZ Write the letter of the best answer in the space provided. 1. A severe form of allergic reaction is called A. an allergen. C. epinephrine. B. anaphylaxis. D. an immune reaction. 2. Harmless

More information

St Mark s Anglican Community School

St Mark s Anglican Community School St Mark s Anglican Community School Allergy Awareness Policy Peanut & Nut Allergy and Anaphylaxis Rationale In most schools some children are anaphylactic. St Mark s Anglican Community School is committed

More information

Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol

Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol Purpose Statement: The Aquarium of the Pacific recognizes the increasing prevalence of allergies in children, including many life threatening

More information

ALLERGY AWARENESS POLICY

ALLERGY AWARENESS POLICY ALLERGY AWARENESS POLICY 1. RATIONALE In most schools some children are anaphylactic. St Hilda s is committed to providing a safe and healthy environment for students. We have adopted an allergy awareness

More information

EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT

EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT Objectives: Recognize early signs of an allergic reaction State immediate and safe response Administer

More information

How to Submit a School Epinephrine Report

How to Submit a School Epinephrine Report 1. INTRODUCTION AND INSTRUCTIONS Dear School Nurse, The revised Regulations Governing the Administration of Prescription Medications in Public and Private Schools (105 CMR 210.000) require schools to submit

More information

EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266

EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266 EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266 Anaphylaxis is a severe systemic allergic reaction from exposure to allergens that is rapid in onset and can cause death. Many severe

More information

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised: Page 1 of 5 PROCEDURE FOR: MAP-certified staff and RN/LPN MAP-certified staff are to be trained in the use of epinephrine administration via pre-filled autoinjector devices(s) annually. Certified staff

More information

Epinephrine Administration Training for Unlicensed School Personnel

Epinephrine Administration Training for Unlicensed School Personnel Epinephrine Administration Training for Unlicensed School Personnel Management of Life-Threatening Allergies in the School Setting Dover and Sherborn Schools EpiPen Administration This program is designed

More information

NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES

NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES TRAINING PROGRAM OUTLINE FOR UNLICENSED OR UNCERTIFIED PERSONNEL TO ADMINISTER EPINEPHRINE BY AUTO-INJECTOR IN LIFE-THREATENING

More information

Emergency treatment of anaphylactic reactions

Emergency treatment of anaphylactic reactions Emergency treatment of anaphylactic reactions Emergency treatment of anaphylactic reactions Objectives - to understand: What is anaphylaxis? Who gets anaphylaxis? What causes anaphylaxis? How to recognise

More information

See, Think, and Act! Anaphylaxis (Severe Allergies)

See, Think, and Act! Anaphylaxis (Severe Allergies) See, Think, and Act! Anaphylaxis (Severe Allergies) California After School Resource Center (CASRC) Administered for the California Department of Education (C.D.E.) Hello. My name is Robyn Sakamoto. Welcome

More information

YORK REGION DISTRICT SCHOOL BOARD. Policy and Procedure #661.0, Anaphylactic Reactions

YORK REGION DISTRICT SCHOOL BOARD. Policy and Procedure #661.0, Anaphylactic Reactions WORKING DOCUMENT YORK REGION DISTRICT SCHOOL BOARD Policy and Procedure #661.0, Anaphylactic Reactions The Anaphylactic Reactions policy and procedure address staff responsibilities with regard to providing

More information

Anaphylaxis - severe allergic reaction

Anaphylaxis - severe allergic reaction Anaphylaxis - severe allergic reaction Summary Anaphylaxis is the most severe allergic reaction and is a medical emergency. An injection of adrenaline is needed to treat the allergic reaction. The most

More information

Section 400: Code # 453.4R

Section 400: Code # 453.4R Section 400: Code # 453.4R Administering Medication Conditions for Administering Prescription Drugs Except as otherwise specifically provided by law, a school bus driver, employee, or volunteer that has

More information

Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy

Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy Turnberg Building Respiratory Medicine 0161 206 3158 All Rights Reserved 2014. Document for issue as handout. What is an allergic

More information

Glossary of Terms. Section Glossary. of Terms

Glossary of Terms. Section Glossary. of Terms Glossary of Terms Section Glossary of Terms GLOSSARY Acute: Symptoms which can occur suddenly with a short and severe course. Adrenaclick /Generic Adrenaclick : a single use epinephrine auto-injector that

More information

ANAPHYLAXIS. Introduction. Differential Diagnosis. Starship Children s Health Clinical Guideline

ANAPHYLAXIS. Introduction. Differential Diagnosis. Starship Children s Health Clinical Guideline Introduction Differential Diagnosis Management Treatment of Anaphylaxis (Flow Chart) Disposition from Emergency Department Adrenaline Autoinjectors Action Plan Adrenaline Autoinjector Information Sheet

More information

Adrenaline autoinjector (EpiPen) for acute allergic anaphylaxis

Adrenaline autoinjector (EpiPen) for acute allergic anaphylaxis for acute allergic anaphylaxis This review of adrenaline autoinjector was first published in December 2003. This update describes the change to the PBS listing to allow prescribing immediately after hospital

More information

PRIMARY CARE PRACTICE GUIDELINES

PRIMARY CARE PRACTICE GUIDELINES 1 of 6 1. OUTCOME To identify anaphylaxis in the primary care setting and provide an evidence informed emergency response utilizing the most current provincial and federal practice guidelines. 2. DEFINITIONS

More information

R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS

R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS R 5331/page 1 of 8 A. Definitions R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS 1. Anaphylaxis - A serious allergic reaction that is rapid in onset and may cause death. Anaphylaxis is a rapid,

More information

Managing Life-Threatening Allergies in School. Prepared by the Hanover Public Schools Health Services Department March 18, 2010

Managing Life-Threatening Allergies in School. Prepared by the Hanover Public Schools Health Services Department March 18, 2010 Managing Life-Threatening Allergies in School Prepared by the Hanover Public Schools Health Services Department March 18, 2010 Goals of the Presentation To understand the significance of life threatening

More information

Students 4000 OP 4.550. Anaphylaxis in Schools

Students 4000 OP 4.550. Anaphylaxis in Schools Students 4000 OP 4.550 Anaphylaxis in Schools BACKGROUND The District recognizes it has a duty of care to students who are at risk from life-threatening allergic reactions while under school supervision

More information

Food Allergy Action Plan

Food Allergy Action Plan Food Allergy Action Plan Name: D.O.B.: / / Allergy to: Weight: lbs. Asthma: Yes (higher risk for a severe reaction) No Place Student s Picture Here Extremely reactive to the following foods: THEREFORE:

More information

Title 14 of the Code of Federal Regulations (14 CFR) part 121, subpart N and subpart X.

Title 14 of the Code of Federal Regulations (14 CFR) part 121, subpart N and subpart X. Subject: MANAGEMENT OF PASSENGERS WHO MAY BE SENSITIVE TO ALLERGENS 1. What is the purpose of this Advisory Circular (AC)? Date: 12/31/02 Initiated by: AFS-200 AC No: 121-36 Change: This AC provides guidance

More information

Table of Contents. Page

Table of Contents. Page Table of Contents 1.0 Purpose 3 2.0 Scope 3 3.0 Definition of Anaphylaxis 3 4.0 Recognition of Anaphylaxis: General Principles 3 5.0 Recognition of Anaphylactic Reaction 5 6.0 Treatment of Anaphylactic

More information

SMO: Anaphylaxis and Allergic Reactions

SMO: Anaphylaxis and Allergic Reactions REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Anaphylaxis and Allergic Reactions Overview: Allergic reactions can vary in severity from a mild reaction consisting of hives

More information

Appendix 7 Anaphylaxis Management

Appendix 7 Anaphylaxis Management Appendix 7 Anaphylaxis Management Anaphylaxis: Initial Management in Non-Hospital Settings This section is intended for the initial management of patients in a public health clinic, medical office or similar

More information

Emergency Anaphylaxis Management: Opportunities for Improvement. Ronna Campbell, MD, PhD August 31, 2015

Emergency Anaphylaxis Management: Opportunities for Improvement. Ronna Campbell, MD, PhD August 31, 2015 Emergency Anaphylaxis Management: Opportunities for Improvement Ronna Campbell, MD, PhD August 31, 2015 disclosures Anaphylaxis Roundtable discussion held at the 2014 American College of Allergy, Asthma

More information

Antioch College Policy on Food Allergies

Antioch College Policy on Food Allergies Antioch College Policy on Food Allergies Purpose: It is the purpose of this document to inform students and staff the procedures used by the College to identify and provide services for students with allergies

More information

1. Dosing Schedule: your customized schedule of your weekly injections as provided by the center.

1. Dosing Schedule: your customized schedule of your weekly injections as provided by the center. Home Immunotherapy Raza Pasha, MD Congratulations. You are now on the path to better control of your allergies. The following is your instruction guide to allow you to become more familiar with proper

More information

Position Statement. Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors

Position Statement. Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors Position Statement Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors AAAAI Position Statements and Work Group Reports are not to be considered to reflect current

More information

Adverse Events Following Immunisation (AEFI) Noel McCarthy Thames Valley Public Health England Centre and Everybody

Adverse Events Following Immunisation (AEFI) Noel McCarthy Thames Valley Public Health England Centre and Everybody Adverse Events Following Immunisation (AEFI) Noel McCarthy Thames Valley Public Health England Centre and Everybody A fifteen year old with diabetes came for his MMR and was referred by the school nurse

More information

College of Licensed Practical Nurses of Alberta. Anaphylaxis Learning Module FOR LICENSED PRACTICAL NURSES

College of Licensed Practical Nurses of Alberta. Anaphylaxis Learning Module FOR LICENSED PRACTICAL NURSES College of Licensed Practical Nurses of Alberta Anaphylaxis Learning Module FOR LICENSED PRACTICAL NURSES February 2005 Adapted from: The College of Licensed Practical Nurses of Alberta Immunization Certificate

More information

Guidelines for Anaphylaxis Management in Schools

Guidelines for Anaphylaxis Management in Schools Guidelines for Anaphylaxis Management in Schools Department of Education and Early Childhood Development Government of Newfoundland and Labrador Guidelines for Anaphylaxis Management in Schools 2 Gove

More information

Brewton City Schools Anaphylaxis Preparedness Guidelines

Brewton City Schools Anaphylaxis Preparedness Guidelines Brewton City Schools Anaphylaxis Preparedness Guidelines Background In response to Act#2014-405 by the Alabama Legislature, the Brewton City School System recognizes the growing concern with severe life-threatening

More information

Sample Rhode Island School Food Allergy Policy

Sample Rhode Island School Food Allergy Policy Sample Rhode Island School Food Allergy Policy Intent [DISTRICT] is committed to the safety and health of all students and employees. In accordance with this and pursuant to Rhode Island General Laws 16-21-31

More information

PERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT

PERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT PERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT MEDICATION IN SCHOOL 5330 F1/page 1 of 5 Before the student will be permitted to take medication during school hours or to use a self-administer medication and

More information

Anaphylaxis Prevention & Management Plan

Anaphylaxis Prevention & Management Plan Anaphylaxis Prevention & Management Plan A Copy of The Anaphylaxis Prevention and Management Plan is kept: 1. School Office in the Anaphylaxis kit. 2. School Portal. 3. Public Drive (Teachers) 4. In teachers

More information

Anaphylaxis: A Life Threatening Allergic Reaction

Anaphylaxis: A Life Threatening Allergic Reaction Anaphylaxis: A Life Threatening Allergic Reaction What is Anaphylaxis? Anaphylaxis is a sudden, severe, and potentially fatal allergic reaction that can cause a wide range of symptoms, including breathing

More information

Epinephrine Auto-Injectors & Trends in Oral Immunotherapy

Epinephrine Auto-Injectors & Trends in Oral Immunotherapy Epinephrine Auto-Injectors & Trends in Oral Immunotherapy Erika Gonzalez-Reyes, MD Chief of Allergy, Immunology & Rheumatology Associate Professor of Clinical Pediatrics Baylor College of Medicine Children

More information

Food Allergies. Food Allergy statistics: True Prevalence of Food Allergy

Food Allergies. Food Allergy statistics: True Prevalence of Food Allergy Food Allergies Food Allergies Food Allergy statistics: 11 million Americans, including adults 6% of US children 2% of adults have shellfish allergy True Prevalence of Food Allergy Patient/Parent Self Report

More information

EpiPen Use. When should I use the EpiPen?

EpiPen Use. When should I use the EpiPen? What is an EpiPen? EpiPen is an emergency device that can inject adrenaline. It is used to treat severe allergic reactions (anaphylaxis). Adrenaline, (a naturally occurring hormone) reverses the severe

More information

Administrative Procedure 5139-APPENDIX A Photo here Individual Health Care Plan-Allergy/Asthma

Administrative Procedure 5139-APPENDIX A Photo here Individual Health Care Plan-Allergy/Asthma Administrative Procedure 5139-APPENDIX A Photo here Individual Health Care Plan-Allergy/Asthma Student: Student s weight: : Teacher: Grade: School: Home phone: Medical Diagnosis & Brief Medical History:

More information

SPRINGFIELD PUBLIC SCHOOLS

SPRINGFIELD PUBLIC SCHOOLS SPRINGFIELD PUBLIC SCHOOLS LIFE THREATENING ALLERGIC REACTION AND EPIPEN POLICY APPROVED 5/13/2010 1 Life Threatening Allergic Reaction and Epipen Committee Dr Matthew Sadof Dr Frank Robinson Jeanne Clancy

More information

severe allergic reactions

severe allergic reactions severe allergic reactions Interim Anaphylaxis Guidelines for Queensland Schools Queensland the Smart State Acknowledgments Education Queensland wishes to thank and acknowledge the contribution of the following

More information

If#Your#Child#Requires#Medication#While#at#Camp:#

If#Your#Child#Requires#Medication#While#at#Camp:# If#Your#Child#Requires#Medication#While#at#Camp:# All prescription and nonprescription medication given in child care, camp or school settingsrequireawritten#authorizationfromyourhealthcareprovider,aswellasparent

More information

SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY

SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY This policy has been written in line with information provided by the Anaphylaxis Campaign, the Department for Children, Families and Schools and the

More information

BSTA Anaphylaxis /Stock Epinephrine Policy

BSTA Anaphylaxis /Stock Epinephrine Policy BSTA Anaphylaxis /Stock Epinephrine Policy (Severe Allergic Reaction) It is the policy of Beehive Science and Technology Academy to provide at least two (2) doses of auto- injectable epinephrine (hereinafter

More information

Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting

Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting Policy Statement: The Risk of Accidental Exposure to allergy inducing foods can be reduced in the school

More information

What Medical Emergencies Should a Dental Office be Prepared to Handle?

What Medical Emergencies Should a Dental Office be Prepared to Handle? What Medical Emergencies Should a Dental Office be Prepared to Handle? Gary Cuttrell, DDS, JD, University of NM Division of Dental Services Santiago Macias, MD, First Choice Community Healthcare Dentists

More information

OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector

OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 54 minutes GUIDANCE FOR THE INSTRUCTOR To complete this lesson and meet the lesson objectives, you must: Discuss all points in the

More information

trust clinical guideline

trust clinical guideline CG04 VERSION 1.0 1/5 Guideline ID CG04 Version 1.0 Title Approved by Allergic Reactions Clinical Effectiveness Group Date Issued 01/01/2013 Review Date 31/12/2016 Directorate Authorised Staff Clinical

More information

Anaphylaxis Recognition and Out of Hospital Management

Anaphylaxis Recognition and Out of Hospital Management Western Canada Immunization Forum Anaphylaxis Recognition and Out of Hospital Management Joy Loewen, Manager Province-wide Immunization Program March 6, 2014 1 Presenter Disclosure Joy Loewen Relationships

More information

MEDICATION MANUAL Policy & Procedure

MEDICATION MANUAL Policy & Procedure MEDICATION MANUAL Policy & Procedure TITLE: Section: Initial Management of Anaphylaxis Following Immunization Medication Specific NUMBER: MM 20-005 Date Issued: October 2009 Source: Distribution: Capital

More information

HOMES AND SENIORS SERVICES

HOMES AND SENIORS SERVICES Page 1 of 9 PURPOSE: All vaccines have the potential to cause adverse reactions. In order to minimize adverse reactions, clients should be carefully screened for contraindications to a vaccine before it

More information

Immunologic Emergencies

Immunologic Emergencies Immunologic Emergencies Part 1 You and your partner are dispatched to Pioneer Park, a local recreational area where residents frequently picnic and enjoy a variety of outdoor festivities, especially during

More information

EMT-B Epinephrine Training Module. Dr. Danielle Campagne Dr. Rawnie Ruegner UCSF-Fresno Department of Emergency Medicine January, 2008

EMT-B Epinephrine Training Module. Dr. Danielle Campagne Dr. Rawnie Ruegner UCSF-Fresno Department of Emergency Medicine January, 2008 EMT-B Epinephrine Training Module Dr. Danielle Campagne Dr. Rawnie Ruegner UCSF-Fresno Department of Emergency Medicine January, 2008 Objectives Review of Allergic Reactions Review Protocols and Procedure

More information

Update on Anaphylaxis: Recognition and Treatment in a College Health Service. Eleanor W Davidson MD Sara H Lee MD February 27 2014

Update on Anaphylaxis: Recognition and Treatment in a College Health Service. Eleanor W Davidson MD Sara H Lee MD February 27 2014 Update on Anaphylaxis: Recognition and Treatment in a College Health Service Eleanor W Davidson MD Sara H Lee MD February 27 2014 Our backgrounds Sara Lee Pediatrics, Adolescent Medicine Faculty, Rainbow

More information

EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP

EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP This is a general outline for the basic EMT or continuing education training on the

More information

PARENT/GUARDIAN REQUEST: ADMINISTRATION OF EMERGENCY EPINEPHRINE, ANAPHYLAXIS CARE PLAN/ IHP & IEHP

PARENT/GUARDIAN REQUEST: ADMINISTRATION OF EMERGENCY EPINEPHRINE, ANAPHYLAXIS CARE PLAN/ IHP & IEHP IEF Elementary School 105 Andrew Street, Green Brook, N.J. 08812 School Nurse: Mrs. Ostrander Office Phone: 732-9681052 ext. # 3 Fax: 732-968-0791 Green Brook Township Public Schools Green Brook Middle

More information

Protocol for Management of Suspected Anaphylactic Shock

Protocol for Management of Suspected Anaphylactic Shock Protocol for Management of Suspected Anaphylactic Shock COMMUNICABLE DISEASE CONTROL Summary of First Steps for Suspected Anaphylaxis Signs and Symptoms: Within minutes signs/symptoms can develop and do

More information

The Public Schools of Verona, New Jersey

The Public Schools of Verona, New Jersey The Public Schools of Verona, New Jersey Procedure for Epi-Pen administration in the Verona Schools 1. The school nurse will provide the parent with the paperwork that must in place for epinephrine administration.

More information

Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015

Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015 K.Lee - 2009 Revised August 2012/Sept 2013/July 2014 Latest Review July 2015 Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015 At Withycombe Raleigh Church of England Primary

More information

Anaphylaxis and Epinephrine Auto-Injector

Anaphylaxis and Epinephrine Auto-Injector Lesson Guide Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 45 minutes Guidance for the Instructor To complete this lesson and meet the lesson objectives, you must: Welcome participants and explain

More information

Food allergy and intolerance

Food allergy and intolerance Food allergy and intolerance Summary A food allergy occurs when the immune system reacts to a harmless food. Food intolerance occurs when the body has a chemical reaction to eating a particular food or

More information

Food allergy /anaphylaxis

Food allergy /anaphylaxis Food allergy /anaphylaxis A food allergy or hypersensitivity is an abnormal response to a food that is triggered by the immune system. Allergic reactions are often mild, but can be sometimes very dangerous.

More information

Children s Allergy and Anaphylaxis Protocols for Schools and Child Care Organisations

Children s Allergy and Anaphylaxis Protocols for Schools and Child Care Organisations Children s Allergy and Anaphylaxis Protocols for Schools and Child Care Organisations This protocol can be used by anyone caring for a child who may be at risk of allergic symptoms or Anaphylaxis. The

More information

Oral allergy syndrome

Oral allergy syndrome Oxford University Hospitals NHS Trust Children s Allergy Clinic Oral allergy syndrome Information for parents What is oral allergy syndrome? In the common form, oral allergy syndrome usually causes redness,

More information

Administrative Procedures Memorandum

Administrative Procedures Memorandum Administrative Procedures Memorandum APH 005 DATE OF ISSUE: July 2003 Revised: November 1, 2005, October 15, 2012, May 2014 consolidated with APH003, August 2015 MEMO TO: FROM: All Staff Director of Education

More information

MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES

MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES Department of Health and Mental Hygiene Maryland State Department of Education Maryland State School Health Council MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES Emergency Management Guidelines for

More information

Recognition and Treatment of Anaphylaxis in the School Setting

Recognition and Treatment of Anaphylaxis in the School Setting Recognition and Treatment of Anaphylaxis in the School Setting Authorization Code of Virginia 54.1-3408. Professional use by practitioners. 2. That the Department of Health, in conjunction with the Department

More information

ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES

ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES August 2014 ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES NSW DEPARTMENT OF EDUCATION AND COMMUNITIES Foreword These guidelines for early childhood education and care services

More information

Influenza Vaccine Protocol Agreement (O.C.G.A. Section 43-34-26.1)

Influenza Vaccine Protocol Agreement (O.C.G.A. Section 43-34-26.1) Influenza Vaccine Protocol Agreement (O.C.G.A. Section 43-34-26.1) This Influenza Vaccine Protocol Agreement (the "Protocol") authorizes the Georgia licensed pharmacists (the "Pharmacists") or nurses (

More information

Epinephrine & Anaphylaxis To Stick or Not To Stick

Epinephrine & Anaphylaxis To Stick or Not To Stick Epinephrine & To Stick or Not To Stick William Hurley, MD FACEP Harborview Medical Center hurleyw@u.washington.edu Washington Poison Center hurley@wapc.org Epinephrine & Describe common initiators of anaphylaxis.

More information

Insect and Animal Allergens. Stinging Insect Allergy. A Patient s Guide

Insect and Animal Allergens. Stinging Insect Allergy. A Patient s Guide Insect and Animal Allergens Stinging Insect Allergy A Patient s Guide Stinging insect allergy can cause severe and sometimes life-threatening reactions. Each year, many people are stung by insects such

More information

Policy Content Requirements (1) Distinguishing between building wide, classroom, and individual approaches to allergy prevention and management;

Policy Content Requirements (1) Distinguishing between building wide, classroom, and individual approaches to allergy prevention and management; Prevention and Response Allergy Prevention and Response Policy Required July 8, 2009, Governor Jay Nixon signed House Bill 992 into law 167.208.1 The new law requires school districts to adopt a policy

More information