Saving Lives at School

Schoessler, Sally; Albert, Lisa; Levasseur, Suzanne; Owens, Cathy

doi:10.1177/1942602x13516866

Cited by 4 publications

(9 citation statements)

References 2 publications

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“…It is important to note that at the time of onset, there is no diagnostic test for anaphylaxis ( Simons et al., 2015 ); in fact, not all cases may present the same clinically ( Campbell et al., 2014 ). In anaphylaxis of children, the most common initial presentation is cutaneous symptoms ( Lieberman et al., 2015 ); additionally, young pediatric patients have the potential for unusual self-reporting descriptions of oral and respiratory symptoms ( Schoessler & White, 2013 ). Robinson and Ficca (2012) described young children explaining early symptoms as “my tongue (or mouth) burns,” “my tongue (or mouth) is tingling,” “it feels like there’s bugs in my ears,” or “there something’s stuck in my throat” (p. 191).…”

Section: Review and Discussionmentioning

confidence: 99%

“… Robinson and Ficca (2012) described young children explaining early symptoms as “my tongue (or mouth) burns,” “my tongue (or mouth) is tingling,” “it feels like there’s bugs in my ears,” or “there something’s stuck in my throat” (p. 191). Neurologic symptoms can manifest as anxiety or a sense of doom; additionally, symptoms such as vocal hoarseness from laryngeal edema or impaired speech from lingual edema may not be readily recognized as anaphylaxis ( Schoessler & White, 2013 ). Although a key feature in the “differential diagnosis of anaphylaxis is the sudden onset of multisystem symptoms” ( Schoessler & White, 2013 , p. 410), Simons et al.…”

Section: Review and Discussionmentioning

confidence: 99%

“…Neurologic symptoms can manifest as anxiety or a sense of doom; additionally, symptoms such as vocal hoarseness from laryngeal edema or impaired speech from lingual edema may not be readily recognized as anaphylaxis ( Schoessler & White, 2013 ). Although a key feature in the “differential diagnosis of anaphylaxis is the sudden onset of multisystem symptoms” ( Schoessler & White, 2013 , p. 410), Simons et al. (2015) noted that a mild onset of symptoms or a previous self-limiting episode may not accurately predict the severity of the current reaction.…”

Section: Review and Discussionmentioning

confidence: 99%

“…A third of these nurses were unaware that a second EAI dose should be administered if the original symptoms had not abated. Without training, the initial presentation of anaphylaxis may be difficult to interpret ( Schoessler & White, 2013 ). Hogue, Muniz, Herrem, Silvia, and White (2018) noted the lack of primary and secondary staff training on established protocols as a persistent process barrier to the appropriate recognition and treatment of school anaphylactic episodes, even where EAIs are available.…”

Section: Review and Discussionmentioning

confidence: 99%

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Epinephrine Auto-Injectors for Anaphylaxis Treatment in the School Setting: A Discussion Paper

Cooke

Meize-Grochowski

2019

SAGE Open Nursing

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Introduction: Anaphylaxis is a serious, life-threatening systemic allergic reaction that may occur in individuals not previously diagnosed with an allergy. Emergency first-line treatment of choice for acute anaphylaxis is intramuscular administration of epinephrine via an auto-injector. In the school setting, students with known allergies typically keep or carry an epinephrine auto-injector (EAI). For students who do not have a known allergy or for those whose personal EAIs are unavailable, an anaphylactic event could have serious adverse outcomes if an EAI is not available via an undesignated stock supply in the school. Methods: We searched the published literature from 2000 through 2018 in CINAHL, MEDLINE, and PubMed using the following search terms: anaphylaxis, school setting, epinephrine auto-injector, and food allergies. Throughout this article, undesignated stock EAIs, stock EAIs, EAI stock, and open-order EAIs are used interchangeably. Conclusion: Anaphylaxis is increasing worldwide as the incidence of food allergies increases. Although stock EAIs for students in schools can have important benefits, the availability of EAIs in the school setting is limited. Barriers to undesignated stock EAIs include the lengthy administrative process for developing school policies and protocols; gaps in nurses’ self-perceived knowledge versus objective knowledge on the topic of anaphylaxis; limited resources in many school districts; and complex role demands, lack of confidence in trained staff, or insufficient school nurse staffing. It is important that epinephrine be readily available in schools. Barriers to facilitating stock EAIs include those that can be addressed directly by nurses and those that may require policy changes. Nurses, particularly those working in school settings or pediatrics, could take the lead in discussions about the benefits of stock EAIs in schools, advocating for policy changes as warranted. Fully informed nurses can be better prepared to serve as advocates in ensuring that EAIs are available in school settings.

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Section: Review and Discussionmentioning

confidence: 99%

Section: Review and Discussionmentioning

confidence: 99%

Section: Review and Discussionmentioning

confidence: 99%

Section: Review and Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epinephrine Auto-Injectors for Anaphylaxis Treatment in the School Setting: A Discussion Paper

Cooke

Meize-Grochowski

2019

SAGE Open Nursing

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“…A Lei Federal nº 13.722/2018, a "Lei Lucas" (Senado Federal, 2018), aponta que os cursos de primeiros socorros serão ministrados por entidades municipais ou estaduais especializadas em práticas de auxílio imediato e emergencial à população, entretanto, a lei ainda aguarda a regulamentação (Senado Federal, 2018). A criação de um Programa de Treinamento padronizado para reconhecimento e atendimento da anafilaxia seria de grande utilidade para capacitar os profissionais de educação (Schoessler et al, 2014) e os possíveis instrutores citados na lei.…”

Section: Conclusãounclassified

Gestão do cuidado seguro da criança alérgica ao leite: a saúde do escolar e suas perspectivas

Andrade

Brum

Messias

2020

RSD

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Managing Food Allergies in Schools

Portnoy

Shroba

2014

Curr Allergy Asthma Rep

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Food allergies are estimated to affect as many as 8 % of children with 2.5 % being allergic to peanut products. Based on the results of recent surveys, this prevalence has been increasing over the last few decades for unknown reasons. As children with food allergies reach school age, the issue is becoming more common in schools. For that reason, schools are now required to be prepared to take responsibility for the safety of food-allergic students. This review discusses the common problems surrounding management of food allergies in the school setting along with reasonable recommendations for addressing those problems. The most important component of food allergy management is for the student to get an accurate diagnosis and to then discuss development of an anaphylaxis action plan with their health-care provider. Each school should insist that a copy of such a plan be provided for each student with food allergy and that epinephrine is readily available should a student have an anaphylactic reaction. In addition to epinephrine, it is essential that school personnel be properly trained to recognize and treat allergic reactions should they occur. Known deficiencies in school preparedness have been documented in previous literature, and consequently, both state and the federal government have begun to implement policies to help with school preparedness.

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Saving Lives at School

Cited by 4 publications

References 2 publications

Epinephrine Auto-Injectors for Anaphylaxis Treatment in the School Setting: A Discussion Paper

Epinephrine Auto-Injectors for Anaphylaxis Treatment in the School Setting: A Discussion Paper

Gestão do cuidado seguro da criança alérgica ao leite: a saúde do escolar e suas perspectivas

Managing Food Allergies in Schools

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