Simulation-based training and its effect on management of severe anaphylaxis – Are 4 Hs enough?

Mileder, Lukas P.; Kopaunik, Lukas S.F.; Alberer, Matthias; Wetzel, Julia; Karnberger, Agnes; Kneihsl, Markus; Gangl, M; Wegscheider, Thomas

doi:10.1016/j.resuscitation.2015.10.006

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Target groups for training courses include patients and relatives, school staff, the general public, as well as individuals working in the health system. A number of articles have been published on these topics [ 31 – 33 ], although the success of training in some of the studies can be deemed as only limited.…”

Section: Anaphylaxis Awarenessmentioning

confidence: 99%

New trends in anaphylaxis

et al. 2017

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This review presents the current trends in anaphylaxis management discussed at the fourth International Network for Online-Registration of Anaphylaxis (NORA) conference held in Berlin in April 2017. Current data from the anaphylaxis registry show that Hymenoptera venom, foods, and pharmaceutical drugs are still among the most frequent triggers of anaphylaxis. Rare triggers include chicory, cardamom, asparagus, and goji berries. A meta-analysis on recent trends in insect venom anaphylaxis demonstrated for the first time that, although data on the efficacy of insect venom immunotherapy is limited, the occurrence of severe reactions upon repeated sting events can be prevented and patients’ quality of life improved. Molecular diagnostics of insect venom anaphylaxis have significantly improved diagnostic sensitivity and specificity. Self-treatment of anaphylaxis is of great importance. Recent data from the anaphylaxis registry show an increase (from 23% in 2012 to 29% in 2016) in the use of adrenaline as recommended in the guidelines. A survey on the implementation of guidelines conducted among the centers reporting to the anaphylaxis registry highlights the extent to which the guideline has been perceived and implemented. Reports on a variety of cases in the anaphylaxis registry illustrate the diversity of this potentially life-threatening reaction. Component-resolved diagnostics can help to specify sensitization profiles in anaphylaxis, particularly in terms of the risk for severe reactions. Recent studies on anaphylaxis awareness show that training methods are effective; nevertheless, target groups and learning methods need to undergo further scientific investigation in coming years.

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Section: Anaphylaxis Awarenessmentioning

confidence: 99%

New trends in anaphylaxis

et al. 2017

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“…21 Recientemente, describieron los resultados del desempeño de los alumnos capacitados en 5 de dichos cursos, que lograron también un diagnóstico apropiado en el 100% de los casos, pero con un menor desempeño en los casos más graves. 22 Couto y col., a su vez, compararon dos estrategias de capacitación para emergencias pediátricas (un caso de anafilaxia y otro de taquicardia supraventricular) y no encontraron diferencias en las evaluaciones entre los alumnos capacitados con discusión de casos de modo tradicional y los que habían participado de la simulación. 23 En cambio, nuestro estudio evaluó el desempeño de los alumnos en tiempo real frente a un escenario simulado, lo que generó una evaluación más completa.…”

Section: Discussionunclassified