Life-threatening asthma and anaphylaxis in schools: a treatment model for school-based programs

Murphy, Kevin R.; Hopp, Russell J.; Kittelson, Eleanor B.; Hansen, Geri; Windle, Mary L.; Walburn, John Norman

doi:10.1016/s1081-1206(10)60906-4

Cited by 39 publications

(40 citation statements)

References 24 publications

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“…5,[11][12][13][14][15][16] Because most cases of anaphylaxis occur in the out-of-hospital environment, it is imperative that EMS providers have the capability to administer epinephrine in a timely fashion. 5,7,11,17 Delayed administration of epinephrine is associated with increased morbidity and mortality, 13,15,[17][18][19] underscoring the importance for prehospital personnel to initiate treatment with epinephrine to patients presenting with anaphylaxis.…”

Section: Importance Of Early Administration Of Epinephrine In the Trementioning

confidence: 99%

The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement

Jacobsen

Millin²

2011

Prehospital Emergency Care

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Anaphylaxis is a potentially life-threatening condition that requires both prompt recognition and treatment with epinephrine. All levels of emergency medical services (EMS) providers, with appropriate physician oversight, should be able to carry and properly administer epinephrine safely when caring for patients with anaphylaxis. EMS systems and EMS medical directors should develop a mechanism to review the charts of patients who received epinephrine and were not in cardiac arrest. This will help to ensure the safe and appropriate use of epinephrine in order to provide continued quality improvement. Despite the safety of epinephrine, EMS systems that carry epinephrine autoinjectors should establish protocols to deal with patients or emergency responders who have an unintentional injection of epinephrine into the hand or digit. Continued research is needed to better define the role that EMS plays in the management of anaphylaxis. This paper serves as a resource document to the National Association of EMS Physician position on the use of epinephrine for the out-of-hospital treatment of anaphylaxis.

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Section: Importance Of Early Administration Of Epinephrine In the Trementioning

confidence: 99%

The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement

Jacobsen

Millin²

2011

Prehospital Emergency Care

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“…A uniform and systematic policy in schools and the school district allows for a minimum level of safety for all. A consistent policy, in many ways, is the most important tool for schools in implementing prevention and treatment plans to reduce the exposure to food allergens, improve the response and training of school personnel, and provide safety for children [12][13][14].…”

Section: The School Settingmentioning

confidence: 99%

Managing children with food allergies in childcare and school

Leo

Clark²

2007

Curr Allergy Asthma Rep

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In the past decade the rise in life-threatening allergic reactions to foods in young children has necessitated increased interaction among personnel in the psychosocial, medical, and educational arenas regarding the multifaceted aspects of this concerning problem. Schools and childcare facilities are vital venues for the continued growth and development of children outside the home. However, these facilities offer unique challenges to caring for the food-allergic child, requiring that the medical, educational, and caretaking communities work in unison to provide the safest environment for all children. Despite the potential obstacles, these settings offer a tremendous opportunity for the development and implementation of strategies to provide for proper identification of children at risk, to increase awareness and prevention, and for the provision of optimal treatment of food-related anaphylactic reactions occurring outside the home.

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“…11,15 Anaphylaxis management plans (AMPs) are increasingly being advocated for use in the United States, Europe, and Australasia in an attempt to improve outcomes from acute episodes and also to reduce the risk of repeat reactions. [16][17][18][19][20][21][22] This is in parallel with moves in other long-term conditions, such as asthma, where there is now good evidence from rigorously conducted trials that self-management plans and regular reviews improve clinical outcomes. 23 Although logical, a recent systematic review found that there is no randomized controlled trial (RCT) evidence to support the routine use of AMPs.…”

mentioning

confidence: 98%

“…[17][18][19][20][21][22][31][32][33][34][35][36][37][38][39][40][41][42][43] Most were epidemiologic and qualitative studies describing aspects of the content, use, and accessibility of AMPs. 19,21,22,[31][32][33][34][35][36][37][39][40][41][42][43] Although some did seek to assess the effectiveness of AMPs, 17,18,20,43 none used rigorous experimental designs. 26 …”

mentioning

confidence: 99%

Anaphylaxis management plans for the acute and long-term management of anaphylaxis: A systematic review

Nurmatov

Worth

Sheikh

2008

Journal of Allergy and Clinical Immunology

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Life-threatening asthma and anaphylaxis in schools: a treatment model for school-based programs

Cited by 39 publications

References 24 publications

The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement

The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement

Managing children with food allergies in childcare and school

Anaphylaxis management plans for the acute and long-term management of anaphylaxis: A systematic review

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