In-flight allergic emergencies

Sánchez‐Borges, Mario; Cardona, Victòria; Worm, Margitta; Lockey, Richard F.; Sheikh, Aziz; Greenberger, Paul A.; Ansotegui, Ignacio J.; Ebisawa, Motohiro; El-Gamal, Yehia; Fineman, Stanley; Geller, Mário; Gonzalez‐Estrada, Alexei; Tanno, Luciana Kase; Thong, Bernard Yu‐Hor

doi:10.1186/s40413-017-0148-1

Cited by 35 publications

(11 citation statements)

References 26 publications

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“…However, it can be frustrating and associated with impaired quality of life, including bullying of food-allergic children, fear of anaphylaxis during airline travel, and anxiety over restrictions on exercise. 129 , 130 In medication-triggered anaphylaxis, avoidance of relevant medications, and use of safe substitutes are mandatory. If indicated, skin testing for penicillin allergy, or other drugs, and graded challenge to rule out immediate hypersensitivity or desensitization in the absence of alternative therapies, can be attempted.…”

Section: Long-term Management Of Anaphylaxismentioning

confidence: 99%

World Allergy Organization Anaphylaxis Guidance 2020

Cardona¹,

Ansotegui

Ebisawa

et al. 2020

World Allergy Organization Journal

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667

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Anaphylaxis is the most severe clinical presentation of acute systemic allergic reactions. The occurrence of anaphylaxis has increased in recent years, and subsequently, there is a need to continue disseminating knowledge on the diagnosis and management, so every healthcare professional is prepared to deal with such emergencies. The rationale of this updated position document is the need to keep guidance aligned with the current state of the art of knowledge in anaphylaxis management. The World Allergy Organization (WAO) anaphylaxis guidelines were published in 2011, and the current guidance adopts their major indications, incorporating some novel changes. Intramuscular epinephrine (adrenaline) continues to be the first-line treatment for anaphylaxis. Nevertheless, its use remains suboptimal. After an anaphylaxis occurrence, patients should be referred to a specialist to assess the potential cause and to be educated on prevention of recurrences and self-management. The limited availability of epinephrine auto-injectors remains a major problem in many countries, as well as their affordability for some patients.

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Section: Long-term Management Of Anaphylaxismentioning

confidence: 99%

World Allergy Organization Anaphylaxis Guidance 2020

Cardona¹,

Ansotegui

Ebisawa

et al. 2020

World Allergy Organization Journal

Self Cite

667

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“…Allergic reactions are reported to account for approximately 2-4% of all medical emergencies on commercial airline flights [1]. This number is likely to be higher, since acute asthma attacks are documented as a respiratory problem and not necessarily as a symptom of a severe allergic reaction [2].…”

Section: Introductionmentioning

confidence: 99%

“…Severe allergic reactions on commercial flights are primarily caused by foods (peanuts, tree nuts, or seafood) and medications [1]. Anaphylactic shock is the most extreme form of allergic reaction.…”

Section: Introductionmentioning

confidence: 99%

Airlines provide too little information for allergy sufferers!

et al. 2020

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Summary Introduction Allergic reactions are reported to account for approximately 2–4% of all medical emergencies on commercial airline flights. In 2016, the International Air Transport Association (IATA) published recommendations on risk prevention in severe allergies. Methods Using a written questionnaire and an internet search, an investigation was conducted on the extent to which airlines operating in Germany have implemented the IATA recommendations and, e.g., offer peanut/nut allergy sufferers appropriate measures. Results Only 14 of the 104 airlines contacted responded to the written survey. Of 115 airlines, 72 provided information for allergy sufferers on their homepage, but mostly in insufficient detail. No results were found for the search term “allergy” (or “Allergie”) on the websites of 43 airlines. The information on the individual airlines has been summarized in table form. Discussion The information offered by many airlines for passengers with allergies is insufficient. To offer greater guidance, updated information has been formulated in German and English, and its use is recommended.

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“…Inúmeros são os ambientes dessas ocorrências e para alguns procedimentos existe, sistemas e ferramentas próprias para o atendimento em saúde. Em 2017, aproximadamente 3 bilhões de pessoas usufruíram, em todo o mundo, do transporte aéreo comercial de passageiros e estima-se que cerca de 44.000 emergências médicas ocorram por ano (SÁNCHES-BORGES et al, 2017).…”

Section: Ambientaçãounclassified

“…Os passageiros sendo indivíduos saudáveis, pouco percebem os sintomas da adaptação do corpo humano a redução de pressão e ao ar rarefeito. No caso de passageiros com condições médicas instáveis, estes podem ter algum desconforto durante o deslocamento da aeronave (ALVES; DANZI; GRAYZEL, 2017) (SÁNCHES-BORGES et al, 2017).…”

Section: Precauções Antes De Viajar De Aviãounclassified

A Reforma Psiquiátrica Brasileira E as Instituições Hospitalares Remanescentes: Uma Revisão Integrativa

Resende¹,

Procópio²,

Soares³

2021

Pesquisas Aplicadas À Saúde Coletiva

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Objetivos: analisar as publicações referentes às remanescentes instituições hospitalares psiquiátricas, após a implantação da Reforma Psiquiátrica Brasileira. Discutir o cenário dessa remanescência levando em consideração as instituições privada e pública. Método: revisão integrativa da literatura. Os dados foram coletados de artigos científicos publicados de 2010 a 2020 e anexados às bases de dados da Biblioteca Virtual em Saúde (BVS), utilizando os descritores: saúde mental, reforma psiquiátrica, instituições hospitalares. Desenvolvemos as buscas de Julho a Setembro de 2020, respeitando-se os critérios de inclusão e de exclusão. Foram localizados 41 artigos, sendo utilizados 22 para a elaboração desta revisão, de acordo com o processo de seleção. Resultados e Discussões: identificamos o crescente número de hospitalizações de curta e de média permanência, tanto públicas quanto privadas que, evidencia um dos principais fatores: a ineficácia da rede externa. Tal rede provavelmente é prejudicada, por um lado, devido à falta de investimento público e, por outro, em virtude do incentivo privado priorizar as internações, com forte influência dos planos de saúde. Foi identificada também, a permanência de posturas e discursos históricos de cunho controlador, biologicista e objetivo, em detrimento de ações que valorizem a autonomia, a integralidade e a singularidade. Conclusão: o contexto atual é resultado do panorama político, social e econômico. A Reforma Psiquiátrica tem perdido espaço, como consequência de um movimento mais amplo de rupturas. Espera-se, que nesse rompimento, a liberdade e a dignidade humanas não se tornem obsoletas

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In-flight allergic emergencies

Cited by 35 publications

References 26 publications

World Allergy Organization Anaphylaxis Guidance 2020

World Allergy Organization Anaphylaxis Guidance 2020

Airlines provide too little information for allergy sufferers!

A Reforma Psiquiátrica Brasileira E as Instituições Hospitalares Remanescentes: Uma Revisão Integrativa

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