What To Do When Your Child Has An Allergy Emergency
February 13, 2017 - CBS News
When kids are at risk of severe allergic reactions, all their caregivers should have a written action plan and epinephrine auto-injectors readily available, according to new reports from the American Academy of Pediatrics.
The reports include a new “universal” action plan for doctors to give parents, to help ensure they’re ready to manage a life-threatening reaction called anaphylaxis.
Anaphylaxis is a sudden, severe allergic reaction that affects multiple organs in the body. The symptoms include swelling of the throat, lips and tongue; trouble breathing and swallowing; chest tightness; vomiting, and hives or skin rash.
It’s an emergency and needs to be quickly treated with an auto-injection of epinephrine, said Dr. Scott Sicherer. He’s a professor of pediatrics, allergy and immunology at the Icahn School of Medicine at Mount Sinai in New York City.
Sicherer co-authored the new AAP reports. The recommendations were published Feb. 13 in the AAP’s journal Pediatrics.
One report stresses that epinephrine auto-injectors -- not antihistamines -- are the “first line” treatment for anaphylaxis.
The second report highlights the importance of families having written action plans, and includes a two-page form doctors can give to parents.
“This certainly isn’t the first written action plan for anaphylaxis,” Sicherer said.
But right now, doctors use various forms that differ somewhat from each other, Sicherer explained. So the AAP devised a “comprehensive” plan that doctors can easily access online.
The bottom line for parents, Sicherer said, is this: If your child is at risk of anaphylaxis, you should have some written plan from your doctor.
Parents will need to talk with their pediatrician or allergist to know whether their child is at risk, according to Sicherer.
But the most common causes of anaphylaxis include allergies to certain foods, such peanuts and shellfish, as well as allergies to insect stings, certain medications or latex.
The AAP action plan provides a list of anaphylaxis symptoms and milder allergy symptoms, and simple instructions on how to respond to each.
If parents think it’s anaphylaxis -- but aren’t 100 percent sure -- they should still use their child’s auto-injector immediately and call 911.
“Epinephrine is safe and very effective,” said Dr. J. Andrew Bird, a pediatric allergist at University of Texas Southwestern Medical Center and Children’s Health in Dallas.
“I’d rather parents err on the side of using it, than not using it,” said Bird, who wasn’t involved in the AAP reports.
According to Sicherer, parents should give copies of their action plan to all of their child’s caregivers -- and to their school, camp or other settings where kids might be exposed to their allergy trigger.
Bird noted that many schools have their own written forms they want parents to complete.
What’s important, he said, is that everyone is aware of the child’s allergy and knows how to recognize and respond to signs of anaphylaxis.
The written plan is not enough on its own, Sicherer stressed.
For one, he said, parents have to know how to prevent severe allergic reactions -- by minimizing their child’s exposure to the culprit allergen.
And, Sicherer said, they should be sure they know how to use their child’s auto-injector, so they’re not scrambling to figure it out in an emergency.
Parents should keep two doses of epinephrine on hand at all times, Bird said.
The best-known brand of auto-injector, EpiPen, costs around $600 or more for a two-pack.
But, Bird noted, there are other auto-injectors out there.
That includes a new generic version of the Adrenaclick device that CVS Pharmacy prices at $110 for a two-pack. With the manufacturers’ coupons, the price can be cut to $10.
Whatever device parents choose, Bird said, they should be sure they learn the specific instructions for how to use it.
Anaphylaxis is not rare. It’s been estimated that at least 1 in 50 Americans -- and possibly as many as 1 in 20 -- has suffered an anaphylactic reaction, according to Asthma and Allergy Foundation of America.
Did you enjoy this story?
If you would like to receive an email when new stories like this one are posted to our website, please complete the form below.
We won't share your information, and you can unsubscribe any time.
Other Recommended Stories
The annual Children’s Cancer Fund Banquet gives kids going through treatment a brief diversion from their battle with cancer. The event, expected to raise more than $1 million, will feature five Frisco children, among other area kids, turned runway models for the evening. “The Children’s Cancer Fund originated through ...
This year’s 5th Annual Legacy of Love Benefit and Fashion Show on the evening of Thursday, April 20, at Mercedes-Benz of Plano is going to be a tip of the hat for five outstanding women. The Legacy Chapter of Children’s Women’s Auxiliary will recognize Sandy Brennan, Joyce Houlihan, ...
KLUV’s Jody Dean seemed to put an extra “oomph” in this year’s two-day “Christmas is for Children Radiothon.” Perhaps it was because he will have his first granddaughter born this April. And that “oomph” on Thursday, December 8, and Friday, December 9, at Children’s ...