Impact of Specific Training in Anaphylaxis for Triage Nursing Staff in the Pediatric Emergency Department of a Tertiary Hospital

Arroabarren, E.; Alvarez-Garcia, J; Anda, M.; Prada, Montserrat de; Ponce, Christopher; Alvarez-Puebla, M J

doi:10.18176/jiaci.0271

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…Another paper by the same Spanish group investigated the impact of a specific educational intervention (a training lecture to PED triage nurses and design of a reference card highlighting symptoms and risk factors for anaphylaxis). The intervention appeared to be effective in increasing the recognition of anaphylaxis patients and decreasing waiting times [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis

Dondi

Calamelli²,

Scarpini

et al. 2022

Children

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Introduction: Anaphylaxis is one of the most frequent and misdiagnosed emergencies in the pediatric emergency department (PED). We aimed to assess which factors play a major role for a correct diagnosis and an appropriate therapy. Methods: We reviewed the records of children discharged with a diagnosis of anaphylaxis or an allergic reaction over 11 years from 3 hospitals in the Bologna city area. Results: One hundred and sixteen cases matched the criteria (0.03% of the total admittances) and were divided according to the patients’ symptoms at arrival: active acute patients [AP], n = 50, or non-acute patients ([NAP], n = 66). At the patients’ discharge, anaphylaxis was diagnosed in 39 patients (33.6%). Some features seemed to favor a correct diagnosis: active symptoms at arrival (AP vs. NAP, p < 0.01), high-priority triage code (p < 0.01), and upper airway involvement (p < 0.01). Only 14 patients (12.1%), all in the AP group, received epinephrine, that was more likely administered to patients recognized to have anaphylaxis (p < 0.01) and with cardiovascular, respiratory, or persistent gastrointestinal symptoms (p < 0.02), as confirmed by logistic regression analysis. Conclusions: Anaphylaxis is still under-recognized and under-treated. Correct triage coding and a proper diagnosis seem to foster an appropriate treatment. Physicians often prefer third-line interventions. Specific training for nurses and physicians might improve the management of this disease.

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Section: Discussionmentioning

confidence: 99%

Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis

Dondi

Calamelli²,

Scarpini

et al. 2022

Children

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Assessment of ED triage of anaphylaxis patients based on the Emergency Severity Index

Chiang

Ade

Liu

et al. 2021

The American Journal of Emergency Medicine

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Evaluating the effects of triage education on triage accuracy within the emergency department: An integrative review

Butler,

Anderson,

Jull

2023

International Emergency Nursing

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Impact of Specific Training in Anaphylaxis for Triage Nursing Staff in the Pediatric Emergency Department of a Tertiary Hospital

Abstract: Our BEI has been effective, improving the identification and priorization of children with anaphylaxis and reducing their WT. We need to pay attention to the functioning of our patients´ reference ED and establish interdisciplinary measures that allow optimizing anaphylaxis´ management.

Cited by 5 publications

References 10 publications

Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis

Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis

Assessment of ED triage of anaphylaxis patients based on the Emergency Severity Index

Evaluating the effects of triage education on triage accuracy within the emergency department: An integrative review

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