Recognition and Treatment of Anaphylaxis in the School Setting - doe virginia 2025

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Intramuscular (IM) adrenaline is the most important treatment of anaphylaxis and should be given as early as possible. If ABC problems persist, a second dose of IM adrenaline should be given after 5 minutes.
The Working Group of the Resuscitation Council (UK) advises that the Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach (summarized below) is used to recognize and manage people with suspected anaphylaxis.
Greater emphasis on intramuscular adrenaline to treat anaphylaxis, and repeated after 5 minutes if Airway/Breathing/Circulation problems persist. A specific dose of adrenaline is now included for children below 6 months of age.
3. Immediate actions for anaphylaxis Remove allergen (if still present), stay with person, call for assistance and locate adrenaline injector. LAY PERSON FLAT - do NOT allow them to stand or walk If unconscious or pregnant, place in recovery position - on left side if pregnant, as shown below.
Acute management of anaphylaxis involves removal of the trigger; early administration of intramuscular epinephrine; supportive care for the patients airway, breathing, and circulation; and a period of observation for potential biphasic reactions.
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School personnel may delay therapy with epinephrine in cases of anaphylaxis, preferring to use antihistamines or bronchodilators. Epinephrine is the primary treatment for anaphylaxis, and antihistamines and inhaled bronchodilators should be used for adjunctive therapy if needed.
Immediate action required: Call 999 if: your lips, mouth, throat or tongue suddenly become swollen. youre breathing very fast or struggling to breathe (you may become very wheezy or feel like youre choking or gasping for air) your throat feels tight or youre struggling to swallow.

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