Emergency Anaphylaxis at School

Murphy, Michael

doi:10.1097/01.naj.0000453757.23764.e9

Cited by 8 publications

(8 citation statements)

References 11 publications

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“…Although the purpose of the stock EAIs is not to replace parental responsibility, in some instances, parents do not provide the school with a student’s prescribed EAI ( Murphy, 2014 ). Greenhawt et al.…”

Section: Review and Discussionmentioning

confidence: 99%

“…According to White et al (2016), 47.5% of students treated for anaphylaxis with epinephrine were administered an EAI from the school's undesignated stock EAIs. Frequently, school nurses have established treatment plans and EAIs for previously diagnosed allergic students (Murphy, 2014). Although this may be ideal, protocols and availability of stock EAIs are beneficial (Sicherer & Simons, 2017) because evidence exists that not all high-risk patients with a previous anaphylactic history have been prescribed an auto-injector (Sclar & Lieberman, 2014).…”

Section: Stock Eais In the School Settingmentioning

confidence: 99%

“…Although the purpose of the stock EAIs is not to replace parental responsibility, in some instances, parents do not provide the school with a student's prescribed EAI (Murphy, 2014). Greenhawt et al (2018) stated that the original case for stock legislation as a safety net was bolstered by the publicity surrounding the anaphylaxis death of an elementary school student whose family could not afford an EAI at both home and school.…”

Section: Stock Eais In the School Settingmentioning

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: Stock Eais In the School Settingmentioning

confidence: 99%

Section: Stock Eais In the School Settingmentioning

confidence: 99%

See 1 more Smart Citation

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 maior parte dos artigos apontou a urgência na criação de Programas de Treinamento com cursos teórico-práticos para atendimentos de emergências nas alergias, anafilaxia para profissionais de educação (Chipps, 2013;Dumeier et al, 2018;Feuille et al, 2017;Juliá-Benito et al, 2017;Kao et al, 2018;Moritz & Schoessler, 2018;Murphy, 2014;Polloni et al, 2016;Portnoy & Shroba, 2014;Pouessel et al, 2017;Russell & Schoessler, 2017;Szychlinski et al, 2015;Tsuang et al, 2017;Tsuang & Wang, 2016;Urrutia-Pereira et al, 2018;Vale et al, 2015;Wahl et al, 2015), se estendendo também aos funcionários da cozinha e lanchonetes .…”

Section: ) Treinamento Em Primeiros Socorros E Plano De Emergênciaunclassified

“…Além do Plano Individual da criança, a escola deve criar diretrizes padronizadas para atendimento de reações alérgicas e anafilaxia, ter um Plano de Emergência (Juliá-Benito et al, 2017;NASN School Nurse, 2013;Pouessel et al, 2017;Schoessler & White, 2013;Tanner & Clarke, 2016;Urrutia-Pereira et al, 2018;Wahl et al, 2015) e citam até o uso de Research, Society and Development, v. 9, n. 4, e106942899, 2020 (CC BY 4. (Murphy, 2014;Pistiner & Mattey, 2017).…”

Section: ) Treinamento Em Primeiros Socorros E Plano De Emergênciaunclassified

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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Surviving the black swan, strategies for process safety specialists, and companies to survive unpredicted catastrophic events

Murphy¹

2016

Process Safety Progress

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This article is a continuation of three articles that I have authored or coauthored on the “black swan,” the rare and unpredictable catastrophic event. The first two papers discussed the concept of the black swan as applied to the chemical and petroleum processing industries and the difficulty in predicting such events. The third paper discussed the fact that we have difficulty maintaining the lesson's learned from black swan events that have occurred. I have survived and witnessed several black swans. Each has affected me personally and professionally. Black swan events are rare but inevitable. Some individuals and companies survive black swan events and continue on while others do not. I have learned that many black swan events, although initially viewed as catastrophes, can result in opportunities from a process safety improvement, career, and personal perspective. This article presents examples of black swan events that have impacted my career in process safety, often in a positive way, and strategies for surviving these “black swan” events from a personal, professional, and a company point of view. © 2016 American Institute of Chemical Engineers Process Saf Prog 35: 13–17, 2016

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Emergency Anaphylaxis at School

Abstract: Nurses in the Milwaukee Public Schools implement a lifesaving response protocol.

Cited by 8 publications

References 11 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

Surviving the black swan, strategies for process safety specialists, and companies to survive unpredicted catastrophic events

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