Emergency Management: Anaphylaxis - Webinar
This webinar is about recognising allergic reactions, including anaphylaxis, and what to do in an emergency.
Allergy & Anaphylaxis Australia (A&AA) is partnering with the National Allergy Strategy to present a webinar about how to recognise an allergic reaction, including anaphylaxis and what to do in an emergency.
The webinar includes a short presentation from Dr Katie Frith, paediatric clinical immunology/allergy specialist and Ms Maria Said, CEO of Allergy & Anaphylaxis Australia and Co-chair of the National Allergy Strategy. The presentations are followed by a question and answer session. Ms Briony Tyquin, an experienced clinical nurse consultant in allergy, answered questions.
When: Wed 27 April | 7:30pm AEST | 5:30pm AWST
This webinar is one in a series of webinars being held by A&AA in partnership with the National Allergy Strategy. Visit the National Allergy Strategy’s Allergy Aware website for further information about the parent/carer webinar series.
Emergency Management: Anaphylaxis - Full webinar
Dr Katie Frith - ASCIA Action Plans and Recognising Anaphylaxis
Maria Said - Adrenaline Injectors
Our GP told us we were getting an EpiPen, but the pharmacist gave us an Anapen. Are pharmacies allowed to substitute the brands?
If a second adrenaline injector is needed, should it be given in a different leg?
If you administer an antihistamine for a food allergic reaction based on initial symptoms of a mild reaction, can this mask warning signs and symptoms for a severe reaction? If the initial reaction is hives, how long after can an anaphylaxis reaction occur? And if hives subside with antihistamines, does this mean an anaphylaxis will not occur? Also, will giving an antihistamine stop a reaction progressing to anaphylaxis?
What is the minimum standards of care that should be expected from paramedics or ambulance staff? When arriving in ED following an anaphylaxis, should there be access to a cardiac monitor and how long someone should be observed for.
Why do insect bite anaphylaxis cause stomach pains? Can anything help abdominal pain following a mild reaction? Sometimes my child can have stomach pain for hours after reaction.
Are any other brands of adrenaline injectors coming onto the market in Australia. Does the Anapen come with a hard case like the EpiPen does?
Managing anaphylaxis in babies under 7.5 kilos. We know that typically adrenaline injectors are only prescribed to babies over 7.5 kilos. So what do you do if you've got a baby having an anaphylaxis and they haven't been prescribed an adrenaline injector?
Should you remove clothing before administrating an adrenaline injector? And is there any difference in that for EpiPen or Anapen in your answer?
Is there a way to get into the yellow EpiPen® so you can draw up the adrenaline - to give a half dose for children 7.5-20kg?
Can we predict the severity of anaphylaxis based on skin prick testing?
Can you use a different device in an emergency? For example, if a person is prescribed an EpiPen® 300 but only an Anapen® 300 is available.
Can the degree of allergy change?
I have recently been diagnosed with wheat dependent exercise induced anaphylaxis and was wondering is there any information I can get regarding it.
One GP suggested taking antihistamine first and waiting for more symptoms to develop. Another GP suggested given the adrenaline injector straight away (for nut allergy). What would your suggestion be? Thankfully my child has never had a severe reaction in the past 14 years.
What is the percentage of self-resolved anaphylaxis? My daughter's first anaphylaxis self- resolved, and I thank goodness every day as we did not have an adrenaline injector at that point.
Are nurses covered in emergency department to give adrenaline via EpiPen®?
What is an example of a non-sedative anti histamine?
We have two adrenaline injectors for my 3 year old daughter. We keep one at childcare and one at home. I am concerned that if we needed to use another adrenaline injector in a reaction because the first didn't work, we wouldn't have a second device at home. Would you have any suggestions for this?
What are your thoughts on using the black cap from an Anapen ® to cap the device after use?
Our EpiPen® carrier got wet with a tipped water bottle. Does this mean we need to get new EpiPen®s?
Why do we have two adrenaline injector devices?
- To ensure continued supply of life saving adrenaline, particularly if one brand has stock shortages.
- To provide choice of dose, including people over 50kg who may prefer a higher dose (500 microgram).
- A 500 microgram device can potentially prevent the need for further doses of adrenaline.
- To encourage suppliers to provide devices with longer shelf life.
- To provide choice for consumers to access different devices.
Is there a cost difference between the adrenaline injectors?
Why are there shortages of adrenaline injectors?
Can you talk about exposure to allergens during a long flight? Is the risk of anaphylaxis higher?
Is medical jewellery useful?
Is anaphylaxis prioritised with ambulances at this point in time in Australia considering the issues and current shortages situation?
Can you just buy autoinjectors over the counter at a chemist?
What do you do if a person doesn’t have their adrenaline injector on them?
Does a pharmacist have a duty of care to give a bystander a second adrenaline injector if after 5 minutes the first hasn't fixed the problem?
What is the use by date of adrenaline injectors?
Katie is a paediatric immunologist and works at Sydney Children’s Hospital (SCH), Randwick. Katie is an active member of ASCIA, the peak professional body for immunologists in Australia and New Zealand. She is the current chair of the ASCIA anaphylaxis committee, chair of the 33rd ASCIA conference and a member of the ASCIA paediatric committee. She has recently been involved in the development of the ACSQHC Acute Anaphylaxis Clinical Care Standard.
Maria is the Chief Executive Officer of Allergy & Anaphylaxis Australia (A&AA). She is a Registered Nurse and is Co-chair of the National Allergy Strategy.
Maria has been a member of A&AA since 1993 when her son was diagnosed with severe atopy (allergic disease) including food allergy. As a volunteer, she became national President of the organisation in 1999.
Maria is an advocate for individuals who live with allergic diseases including food allergy and the risk of anaphylaxis. She shares information on the mission of the organisation and the consumer perspective with teaching and health professionals, the food industry, federal and state government departments and the Australian community. Maria is internationally recognised and respected.
Briony is a Clinical Nurse Consultant in Allergy and Manager of the NSW Anaphylaxis Education Program based at the Children’s Hospital at Westmead, providing education and support to health professionals, registered training organisations, schools, preschools and children’s services across NSW. Briony has over 25 years’ experience as a paediatric nurse and has 15 years’ experience in paediatric allergy.
Briony is passionate about paediatric allergy and works closely with A&AA, the National Allergy Strategy, ASCIA and CFAR. She is an active member of the ASCIA paediatric committee and the ASCIA anaphylaxis committee and is the nurses’ representative on ASCIA Council.