Preparing School Personnel to Assist Students with Life‐Threatening Food Allergies

Hay, Genevieve H.; Harper, Thomas B.; Courson, Frances H.

doi:10.1111/j.1746-1561.1994.tb03274.x

“…These trends are important for pediatricians to recognize, because they formulate the anticipatory guidance that they give to parents of young children and to appropriate school officials. 16,17 Although our comparison groups are small, patients requiring intensive care were more likely to have had IV exposure to inciting agents while inpatients. Many of these children were exposed to the agents in the operating suite, where they were attended to by physicians who preferred to continue their postoperative treatment in an ICU setting.…”

Section: Discussionmentioning

confidence: 99%

Anaphylaxis in Children: A 5-Year Experience

Dibs

¹

,

Baker

²

1997

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ABSTRACT. Objectives. To identify the causative agents, presenting signs and symptoms, and course of disease in children diagnosed with anaphylaxis.Design. Five-year retrospective chart review. Setting. Urban children's hospital pediatric emergency department, operating suite, and inpatient units.Participants. Fifty-five cases of anaphylaxis in 50 patients 1 to 19 years of age.Interventions. None. Results. The most common inciting agents in this population were latex (27%), food (25%), drugs (16%), and venoms (15%). Thirty-two cases (58%) occurred outside of the hospital, including 3 of 11 severe cases. Nineteen (35%) had histories of prior allergy to the causative agent. Most agent exposures were intravenous (38%), oral (27%), or dermal (20%). The most common systems involved were respiratory (93%), skin (93%), cardiovascular (26%), and neurologic (26%). Features distinguishing the 11 patients requiring intensive care included latex agents (45%), nonenteral route of exposure (91%), and presence of cardiovascular symptoms (45%). Of the 17 patients with known past anaphylaxis, only 5 had epinephrine self-administration devices available, and 3 had used them.Conclusions.

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“…9,10 If adrenaline must be administered by school staff as part of this plan, additional training and consent procedures may be required. 8,9 The attitudes of school personnel also become of paramount importance. 8 The greatest risk of mortality occurs in children at school and child care centres with staff who have had little or no education in the management of such situations and who are unwilling or unable to administer adrenaline.…”

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confidence: 99%

“… 8 The greatest risk of mortality occurs in children at school and child care centres with staff who have had little or no education in the management of such situations and who are unwilling or unable to administer adrenaline. 8–11 …”

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confidence: 99%

“…8,9 The attitudes of school personnel also become of paramount importance. 8 The greatest risk of mortality occurs in children at school and child care centres with staff who have had little or no education in the management of such situations and who are unwilling or unable to administer adrenaline. [8][9][10][11] In 1996 the Department of Education, Training and Employment (DETE) of South Australia and the Allergy Service of the Women's and Children's Hospital, Adelaide, sought to establish policy and a training programme to prevent, recognize, and initiate first aid management for children with anaphylaxis.…”

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confidence: 99%

“…8 The greatest risk of mortality occurs in children at school and child care centres with staff who have had little or no education in the management of such situations and who are unwilling or unable to administer adrenaline. [8][9][10][11] In 1996 the Department of Education, Training and Employment (DETE) of South Australia and the Allergy Service of the Women's and Children's Hospital, Adelaide, sought to establish policy and a training programme to prevent, recognize, and initiate first aid management for children with anaphylaxis. The initial aim of this programme was to document the prevalence rates of parent reported allergy (PRA) and anaphylaxis in children attending child care and school centres in South Australia.…”

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confidence: 99%

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