Severe Allergic Reactions (Anaphylaxis): Signs, Symptoms, Risks, Treatment and School's Response

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Dr. Eddie Hamilton of ICON Pediatrics, Middle Tennessee's only concierge pediatric practice, gives us an understanding of severe allergic reactions (anaphylaxis). • Discover the signs and symptoms of this life-threatening health concern. • Understand what leads to greater risk. • Learn how anaphylaxis is treated. • Discover what schools can do to help keep children safe. ________ABOUT ICON PEDIATRICS_______ ICON Pediatrics is a concierge practice that enables physicians the time to examine your child, discuss treatment options, provide explanations and help you make the best decisions for your child’s health — when you need it. There are no long waits. We respect your schedule. We strive to offer the convenience of same-day appointments, that start on time. Do you need some follow-up advice or have further questions? With ICON Pediatrics your physician is always available online, through email and by phone. Contact us today for a free consultation. Visit www.iconpediatrics.com or call (615) 647-8282

Health & Medicine

ANAPHYLAXIS
Severe Allergic Reactions in Schools

What is Anaphylaxis?
• Severe allergic reaction
• Rapid in onset
• May cause death
• Sensitization and re-exposure

What are the signs and symptoms?
• Skin: hives, swelling, itching, warmth, redness
• Breathing: coughing, wheezing, shortness of breath, chest pain, trouble
swallowing
• Stomach: nausea, pain or cramps, vomiting, diarrhea
• Heart: pale color, weak pulse, fainting, dizziness, shock
• Other: anxiety, sense of dread, headache, metallic taste

What triggers anaphylaxis?
• Foods and insects
• Peanut, tree nuts
• Milk
• Egg
• Soy
• Wheat
• Seafood (fish and shellfish)
• Yellow jackets, hornets, wasps, honey bees

Risk Factors
• History of asthma
• Delayed use of epinephrine
• Underlying heart disease
• Previous history of anaphylaxis
• 65% of children never had a previous episode
• Most common in children from birth to 19

What do you do?
• Epinephrine (adrenalin)
• EpiPen, EpiPen Jr
• 0.15 mg or 0.30 mg based on weight
• Antihistamines
• Call 911
• Second dose?
• Shock?

What can schools do?
• Prevention, Prevention, Prevention
• Ingredient labeling
• Food preparation
• Hand washing
• Cleaning
• “No eating rule”
• Training and Communication
• Legal issues

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