2What Would You Do? Bianca Bianca has a bee sting allergy Her class is on a field tripShe tells the teacher that she was stung –The teacher sees that she ispale and can hear that she iswheezingHer tongue starts to swell,she gasps for airBianca is experiencinganaphylaxisBianca
3You have moments to react Bianca is having a life-threatening allergic reactionWithout prompt treatment with a drug called epinephrine, Bianca could die within minutesDo you know what to do?Do you know how to give epinephrine?
4Today is the day that you will learn how TO save a child’s life -
5Learn to save the life of a child like Bianca! ObjectivesLearn the signs and symptoms of anaphylaxisHave the skills to administer an epinephrine auto-injectorReview the use of an Emergency Care Plan in responding to a student health emergencyLearn to save the life of a child like Bianca!
6Insect Sting Allergies What is Anaphylaxis?Latex AllergiesInsect Sting AllergiesFood Allergies
7What is an allergic reaction? An allergy occurs when the immune system mistakenly attacks a food protein or normally harmless substance – it perceives the food or substance as a harmful or foreign oneExposure to the offending food or allergen may trigger the sudden release of chemicals, including histamine, resulting in symptoms of an allergic reactionThe symptoms may be mild or severe – may progress over minutes or hoursFAAN, 2012
9Anaphylaxis (“anna-fill-axis”) Anaphylaxis is a severe allergic reaction that can be life-threateningIt must be treated immediatelyThe drug of choice is epinephrineThe time to learn how to give life-saving medication is now – it needs to be given without delayIt’s time to GET TRAINED!Sicherer & Simons, 2007
10Allergic Reactions Preventing an exposure is key For students with a diagnosed allergy:Know who can help!Talk to your school nurse or care coordinatorKnow how to react!Know the signs and symptoms of anaphylaxisLearn about the student’s Action / Emergency Care PlanKnow where your student’s medication is and how to help in an emergencyRobinson & Ficca, 2011
11Allergy ResponseRemove student from allergen if possible – or remove allergen from studentAssess student symptoms – be prepared to initiate an Emergency Care Plan quicklyAdminister an epinephrine auto-injector WITHOUT DELAYCall 911 for an ambulanceEpinephrine may need to be repeated in 5 – 20 minutesHave two auto-injectors available if possibleSicherer & Simons, 2007
12Allergy ManagementCollaboration is vital – everyone should be aware of students with allergiesMust be willing to work as a team to keep these students safeRobinson & Ficca, 2011Classroom TeachersSchool AdministrationSpecial Area TeachersFood ServiceStudent Instructional Support PersonnelCustodiansTransportation StaffEveryone!
14What does it look like? Mild Allergic Reaction: MOUTH: Itchy mouth SKIN: A few hives around mouth/face, mild itchABDOMINAL AREA/ STOMACH: Mild nausea/discomfortFAAN, 2012
15What does it look like?Anaphylaxis: Any SEVERE SYMPTOMS after suspected or known ingestion:One or more of the following:LUNG: Short of breath, wheeze, repetitive coughHEART: Pale, blue, faint, weak pulse, dizzy, confusedTHROAT: Tight, hoarse, trouble breathing /swallowingMOUTH: Obstructive swelling (tongue and/or lips)SKIN: Many hives over body FAAN, 2012
16What does it look like?Anaphylaxis: Any SEVERE SYMPTOMS after suspected or known ingestion:Or combination of symptoms from different body areas:SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)ABDOMINAL AREA/ STOMACH : Vomiting, diarrhea, crampy painFAAN, 2012
17How will I know what to do? School Nurse will develop an Emergency Care Plan for students with a diagnosed allergyIncludes steps to followShould be reviewed regularlyBe prepared to act!
18Allergy Action/Emergency Care Plan Individual – specific to the studentShould go to all school staffInformation should be treated with careFAAN, 2012
19Epinephrine Administration Know what to do!Act Quickly!
20Epinephrine Epinephrine is the drug of choice for anaphylaxis Should be administered PROMPTLYSome protocols call for epinephrine to be administered with or without symptomsA delay in treatment can have devastating resultsRobinson & Ficca, 2011Sicherer & Simons, 2007
21Epinephrine Auto-Injectors Epinephrine Auto-injectors are easy to useCome with instructionsTrainers available for practice useWebsites have video demonstrations – know the auto-injector prescribed for your student and know how to administer it!Epi-Pen videoEpipen4schools.comAuvi-Q videohttps://www.auvi-q.com/
22Review – Steps to Follow If student has symptoms of anaphylaxis:Follow Emergency Care / Allergy Action Plan – call the school nurse if availableGive the epinephrine auto-injector without delay – give 2nd dose in 5 – 20 minutes if neededCall 911 to transport student to hospitalGet support from administration to call parentDo not leave student alone!
23Document and DebriefDiscuss with the school nurse how to record that you gave an epinephrine auto-injector dose and the symptoms you witnessedHave a debriefing meeting with the nurse and school administration after giving an epinephrine auto-injectorTalk about how response wentTalk about feelingsTalk about ways to improve in the futureRobinson & Ficca, 2011
24You Can Do It!You know what to do when a student is having a life-threatening allergic reactionYou know how to give epinephrineYou know how to savethe lives of childrenlike Bianca!Bianca
25Today is the day that you learned how to save a child’s life!
27ReferencesFood Allergy and Anaphylaxis Network (2012). Retrieved from:Robinson, J. & Ficca, M. (2012). Managing the student with severe food allergies. Journal of School Nursing, 28(3), doi: /Sicherer, S. & Simons, F.E. (2007). Self- injectable epinephrine for first aid management of anaphylaxis. Pediatrics, 119(3), doi: /peds
28ReferencesFor more information – know the brand of epinephrine auto-injector that your student has been prescribed:Epi-Pen:Auvi-Q: https://www.auvi-q.com/