1. Preventing Food Allergy Emergencies and Managing Anaphylactic Reactions Prepared by Steve Kinsley, RD Nu Connexions *Further food allergy risk management resources are available at www.nuconnexions.com/Allergy/manage.htm

2. Preventing Food Allergy Incidents: Cross-Contamination n Hand washing between any food-handling activities and after eating is important! n Thoroughly wash knives, cutting boards, prep utensils between tasks. n No sharing of cups, straws, whistles, or other objects among children.

3. Preventing Food Allergy Incidents: Keeping Snacks Safe n Food from reputable brand-name companies (see next slide). n Nothing from donut shops. Even if peanuts are not used, other nuts may contain traces of peanuts. n Ask in-store bakeries if they use potential food allergens in other food items (not just the items you’re purchasing). u Many do use peanuts or “mandalona nuts” (almond-flavoured peanuts), or other nuts, in some of the items they make. u They may also be unable to guarantee that “convenience” products they use (e.g. icings and fillings) are peanut/nut-free.

4. Companies & Allergy Alerts n Read ingredient labels carefully. Don’t be fooled by the absence of “may contain traces of…” warnings on food product packages. It is not a legal requirement for companies to place food allergy alerts on product packaging. u Some companies that do consistently place allergy alerts on packaging are: F Kraft/Nabisco (including Christie and Peak Frean’s), General Mills. F Nestle, Hershey’s. u For more detailed information, and more extensive company listings, visit www.nuconnexions.com/Allergy/companies.htm www.nuconnexions.com/Allergy/companies.htm

5. Signs of Anaphylactic Reactions n Tingling in mouth, hives, itching. n Swelling of eyes, lips, face, tongue, hands, wrists, or other parts of body. n Flushed face or body. n Tightness in throat, mouth, chest. n Difficulty breathing, swallowing. n In young children, may be indicated by unconsolable or unexplainable crying. n Wheezing, coughing, choking. n Vomiting, stomach upset. n Dizziness, loss of consciousness.

6. Dealing With Anaphylaxis n Give EPIPEN. u Remove grey cap from end. u Press EPIPEN firmly into side of thigh until a click is heard, then hold in place and count to 10. n Administer Benadryl (for breathing difficulties). n Call 911 (emergency) to transport to hospital. n Notify parents immediately after emergency call.