Emergency Procedures Training Huntsville City Schools’ Employee Training : How to Recognize and Respond to Anaphylaxis, Allergies, Asthma, Diabetes, and Seizures Training for Huntsville City Schools’ Employees

Medical Emergencies Anaphylaxis, Allergies, Asthma, Diabetes, and Seizures can be life-threatening They must be treated immediately. A delay in treatment can have devastating results Never leave a student alone who is experiencing a medical emergency Never send a student to the clinic “alone” who is experiencing a potential medical emergency Some students are allowed to self-carry and/or self- administer emergency medications following the PPA and Management Plan/IHP/EAP/CAP/Bus Plan Training for Huntsville City Schools’ Employees

Anaphylaxis (“anna-fill-axis”) Anaphylaxis is a severe allergic reaction that can be life-threatening It must be treated immediately. A delay in treatment can have devastating results. The drug of choice is epinephrine and it should be administered PROMPTLY A Trained Member of the School’s Emergency Team (Medication Assistant or Nurse) Some students are allowed to self-carry and/or self- administer Epinephrine following the PPA and Management Plan/IHP/EAP/CAP/Bus Plan It’s time to GET TRAINED! Sicherer & Simons, 2007 Training for Huntsville City Schools’ Employees

Tree nuts (walnuts, cashews, pecans, etc.) Allergic Reactions Common allergens include: Bee stings Latex Food Allergies - most common allergens: FAAN, 2012 Milk Egg Peanut Tree nuts (walnuts, cashews, pecans, etc.) Fish Shellfish Soy Wheat Training for Huntsville City Schools’ Employees

Allergy Response Remove student from allergen if possible – or remove allergen from student Assess student symptoms – be prepared to initiate an Management /Emergency Care Plan quickly Contact a the Onsite School Nurse or a member of the School’s Emergency Team immediately Notify front office staff, principal & parent/guardian School’s Emergency Team Member or Onsite School Nurse will administer an epinephrine auto-injector WITHOUT DELAY Call 911 for an ambulance Do Not leave student alone Sicherer & Simons, 2007 Training for Huntsville City Schools’ Employees

Allergy Management Collaboration is vital – everyone should be aware of students with allergies Must be willing to work as a team to keep these students safe Robinson & Ficca, 2011 Classroom Teachers School Administration Special Area Teachers Food Service Student Instructional Support Personnel Custodians Transportation Staff Everyone! Training for Huntsville City Schools’ Employees

What does it look like? Mild Allergic Reaction: MOUTH: Itchy mouth SKIN: A few hives around mouth/face, mild itch ABDOMINAL AREA/ STOMACH: Mild nausea/discomfort FAAN, 2012 Training for Huntsville City Schools’ Employees

What 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 cough HEART: Pale, blue, faint, weak pulse, dizzy, confused THROAT: Tight, hoarse, trouble breathing/swallowing MOUTH: Obstructive swelling (tongue and/or lips) SKIN: Hives, itchy rashes, swelling (e.g. eyes, lips) Abdominal Area/Stomach: Vomiting, diarrhea, crampy pain Or combination of symptoms from different body areas FAAN, 2012 Training for Huntsville City Schools’ Employees

How will I know what to do? Physician, Parent & School Nurse will develop an Management Plan/IHP/EAP/CAP/Bus Plan for students with a diagnosed allergy Includes steps to follow Should be reviewed regularly Be prepared to act! Training for Huntsville City Schools’ Employees NASN

Asthma Asthma should be taken seriously. It can be a life-threatening emergency! Asthma is a chronic medical condition characterized by the inflammation of the bronchial tubes due to recurrent obstruction of airflow and increased secretion of mucus Training for Huntsville City Schools’ Employees

Diabetes Diabetes should be taken seriously. It can be a life-threatening emergency! Diabetes is a very serious metabolic disorder that prevents the normal breakdown and use of food, especially sugars(carbohydrates) by the body. Training for Huntsville City Schools Employees

Diabetes Training for Huntsville City Schools Employees

Seizures Seizures should be taken seriously. They can be a life-threatening emergency! Seizures are caused by abnormal electrical activity within the nerve pathways of the brain. Training for Huntsville City Schools Employees

Seizures Training for Huntsville City Schools Employees

Today is the day that you learned how to save a child’s life! Training for Huntsville City Schools Employees NASN

References NASN, Get Trained© PowerPoint, this program is supported by an unrestricted grant from Mylan Specialty Food Allergy and Anaphylaxis Network (2012). Retrieved from: http://www.foodallergy.org/ Robinson, J. & Ficca, M. (2012). Managing the student with severe food allergies. Journal of School Nursing, 28(3), 187-194. doi: 10.1177/1059840511429686. Sicherer, S. & Simons, F.E. (2007). Self-injectable epinephrine for first aid management of anaphylaxis. Pediatrics, 119(3), 638-646. doi: 10.1542/peds.2006-3689. ALSDE, http://web.alsde.edu/home/Sections/SectionDocuments.aspx?SectionID=70&Subsection=32 2003 Novo Nordisk Pharmaceuticals, Inc. Act 2014.405 HB0156 ENACTED Anaphylaxis Preparedness For more information – know the brand of epinephrine auto-injector that your student has been prescribed: Epi-Pen: www.epipen.com Auvi-Q: https://www.auvi-q.com/ Training for Huntsville City Schools Employees