Anaphylaxis training course

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Anaphylaxis training course

• Providing up-to-date information about managing
  severe allergies in schools

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Contents

• Allergic reaction or anaphylaxis
• Common causes
• Symptoms of allergic reactions and anaphylaxis
• Treatment auto injectors
• Principles of good management
• Allergen avoidance
• What to do in an allergic reaction
• Aftercare
• Responsibilities
• Further information
• Practical session with training auto injectors

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Anaphylaxis

• Severe life-threatening allergic reaction
• Anaphylaxis involves respiratory difficulties
  (swelling of the airways) and/or hypotension
  (fainting, collapse, unconsciousness)
• Whole body is usually affected within minutes of
  exposure to the allergen

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Common causes

• Peanut
• Tree Nuts
• Milk
• Egg
• Sesame seed
• Fish and shellfish
• Kiwi
• Latex
• Insect Stings
• Medicines

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Symptoms

• Swelling of the mouth or throat
• Difficulty swallowing or speaking
• Alterations in the heart rate
• Hives anywhere on the body
• Abdominal cramps and nausea
• Sudden feeling of weakness
• Difficulty breathing
• Collapse and unconsciousness

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Rash and swelling
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Treatment auto injector devices

• Adrenaline (Epinephrine) is the mainstay of
  treatment via pre-filled auto injectors
• EpiPen child dose suitable for children who
  weigh up to 30kg
• Anapen child dose suitable for children 15-30kg
• Adult dose over 30kg
• Antihistamines and asthma inhalers helpful for
  mild or slow onset of allergic reactions

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Principles of good management

• Allergy avoidance
• Early recognition of symptoms
• Crisis management

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Allergy avoidance

• Know your children and their allergies plan
  ahead
• Be aware of cross-contamination
• Check the materials you are using are suitable
  for use by all allergic children

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Crisis management what to do in an allergic
reaction

• As the child becomes unwell
• Stay calm
• Call for help emergency kit, 999, parents
• Assess reaction
• Correct positioning according to symptoms
• Prepare injection
• Administer correctly and safely
• Note the time
• Monitor until ambulance crew arrive
• If condition not improving after 5 minutes and
  ambulance not arrived, prepare to give 2nd
  injection (if available)
• MUST go to hospital risk of bi-phasic reaction

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Aftercare

• Safe disposal of auto injector
• Written report RIDDOR and LCC
• Debriefing
• Further guidance or training?

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Responsibilities

• School are responsible for obtaining written
  consent and ensuring each child has an individual
  protocol/management plan
• School responsibility to ensure medication is
  stored appropriately and is easily accessible
• Schools responsibility to ensure all staff aware
  of pupils with medical needs and appropriate
  training is provided
• Parents are responsible for ensuring school has
  correct and up-to-date information on their child
• Parents responsibility to ensure medication is
  available and in date
• Pupils responsibility (depending on age) to be
  proactive in own care and management of condition
• LEA indemnity insurance
• REMEMBER all children are different and some
  will need more specific advice

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Further information?

• Contact the Anaphylaxis Campaign
• Tel [phone]
• www.anaphylaxis.org.uk
• www.cateringforallergy.co.uk
• AllergyWise online anaphylaxis training
• Action for Anaphylaxis (DVD)
• All information in this PowerPoint has been
  adapted from the AllergyWise Training Course for
  Health Professionals, provided through the
  Anaphylaxis Campaign.