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Anaphylaxis is a severe allergic reaction that is rapid in onset and may cause death. The good news is that even the most severe form of allergy is manageable. The vast majority of the children affected are happily accommodated in mainstream schools thanks to excellent communication between parents, school staff, doctors and education authorities.
The most common cause of allergic reactions in children is food. Common allergens include milk and egg (allergies which are often outgrown) as well as peanuts, tree nuts, fish and shellfish (which are seldom outgrown). Around 6-8 percent of children in the UK suffer from a food allergy.
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Here at The Mandatory Training Group, we receive many enquiries from all sector providers about the anaphylaxis for schools. We have listed some of these frequently asked questions and provide answers.
An anaphylactic shock or anaphylaxis is a life-threatening serious allergic reaction to an allergen such as food substances or insect stings. This training is for qualified first aiders and emergency first aiders to enable them to recognise and treat anaphylaxis safely and effectively.
Anaphylaxis can be explained to children through the following:
A major difference between anaphylaxis and other allergic reactions is that anaphylaxis typically involves more than one system of the body. Symptoms usually start within 5 to 30 minutes of coming into contact with an allergen to which an individual is allergic.
There is no cure for anaphylaxis. Treatment options include:
Food was the most common specified trigger of anaphylaxis. Reactions to peanut made up approximately 45% of food-induced anaphylaxis cases. In comparison, tree nuts and seeds constituted about 19% and milk caused about 10% of the cases. Other common triggers included drugs, blood products and venom.
This anaphylaxis for schools training is mandatory for all permanent, temporary and casual school-based staff to complete at least once every two years.
While anaphylaxis is a severe matter in school, and it makes sense to include all employees in training, multiple studies have suggested that mandatory training is less effective. When leaders stressed the importance of attending anaphylaxis for schools training for their self-betterment, other employees were likely to follow.
The risk of anaphylaxis can be minimised in schools as casual staff, who work at school regularly, should be included in anaphylaxis for schools training sessions. Schools should have interim educational tools such as adrenaline auto-injector training devices and access to 'how to administer' videos available to all staff.
The review of anaphylaxis for a school action plan is when their doctor or nurse practitioner reassesses patients, and each time they obtain a new adrenaline auto-injector prescription, which is approximately every 12 to 18 months.
Here are some tips for reducing the risk of anaphylaxis for schools:
Parents/guardians and pupils may advise the school at any time that the pupil is anaphylactic.
The individual plans for a pupil with anaphylaxis in schools shall be consistent with the School Board's policy and shall include:
Prompt treatment of anaphylaxis is critical in school, with subcutaneous or intramuscular epinephrine and intravenous fluids remaining the mainstay of management. Adjunctive measures include airway protection, antihistamines, steroids, and beta-agonists. Patients taking beta-blockers may require additional measures.
Antihistamines — Epinephrine is the first-line treatment for anaphylaxis, and there is no known equivalent substitute. Antihistamines (such as diphenhydramine or cetirizine) relieve itch and hives.
The first step for treating anaphylactic shock will likely be injecting epinephrine (adrenaline) immediately. It can reduce the severity of the allergic reaction.
Anaphylaxis for school kit should contain adrenaline 1:1000 (at least three ampoules check expiry dates); at least 3 x 1 mL syringes and 25 mm needles (for intramuscular injection); cotton wool swabs; pen and paper to record the time the adrenaline was administered; a laminated copy of 'Doses of intramuscular 1:1000 adrenaline.
Water has the power to regulate your histamine levels. It does not mean drinking water can act to prevent or treat an allergic reaction, including anaphylaxis. Still, it's good to know that avoiding dehydration by drinking water will help to maintain regular histamine activity.
In very rare cases, reactions develop after 24 hours. Anaphylaxis is a sudden and severe allergic reaction that occurs within minutes of exposure. It needs immediate medical attention for this condition. Without treatment, anaphylaxis can get worse very quickly and lead to death within 15 minutes.
The late sign of anaphylactic reaction includes fainting, dizziness, confusion, or weakness. Hives; a rash; and itchy, swollen, or red skin. Runny or stuffy nose and sneezing. Shortness of breath or trouble breathing and rapid heartbeat.
The purpose of anaphylaxis for school training is to provide families of students with life-threatening allergies, school personnel, and medical providers with the information, recommendations, forms, and procedures necessary to provide students with a safe learning environment at school and during all other nonacademic school-sponsored activities.
Anaphylaxis is defined by several signs and symptoms, alone or in combination, which occurs within minutes, or up to a few hours, after exposure to a provoking agent. It can be mild, moderate to severe, or severe. Most cases are mild, but any anaphylaxis has the potential to become life-threatening.
Symptoms of anaphylaxis can be mild, and they may go away on their own (most anaphylactic reactions will require treatment). But it's difficult to predict if or how quickly they will get worse. It's possible for symptoms to be delayed for several hours.
Anaphylaxis training for schools is essential that all teachers, nursery staff and others who work with children have appropriate training to enable them to recognise and manage severe allergic reactions in schools and community settings.
If anaphylaxis isn't treated immediately, it can result in severe complications and even be fatal. When your body goes into anaphylactic shock, your blood pressure suddenly drops and your airways narrow, possibly blocking normal breathing. This condition is dangerous.
The complications of anaphylaxis can sometimes cause a heart attack. All of these complications are potentially fatal. Some people may go into anaphylactic shock. It's also possible to stop breathing or experience airway blockage due to the inflammation of the airways.
Anaphylaxis for schools risk management strategies includes washing down tables, high chairs and benchtops after eating. Ensure handwashing for all children before and after eating and, if the requirement is involved in a particular child's anaphylaxis medical management action plan, on arrival at the children's service.
If in doubt whether a pupil is having anaphylaxis, always give adrenaline. A dose of adrenaline given using an AAI into the muscle is safe and potentially life-saving. If medical and parental consent is not in place, then dial 999 for advice.
Families and staff should record when each family of an at-risk child is provided with a copy of the service's anaphylaxis management policy. Record when each family member offers a complete auto-injection device kit.
Anaphylaxis can be reduced in childcare include:
Anaphylaxis, allergies and asthma tend to run in families and believed to be a genetic predisposition to them.
Anaphylaxis causes your immune system to release a flood of chemicals that can cause you to go into shock. Your blood pressure drops suddenly and your airways narrow, blocking breathing. Signs and symptoms include a rapid, weak pulse; a skin rash; and nausea and vomiting.
On successful completion of the Online Anaphylaxis for Schools Training Courses will be able to download, save and/or print a quality assured continuing professional development (CPD) certificate. Our CPD certificates are recognised internationally and can be used to provide evidence for compliance and audit.
The CPD Certification Service (CPDUK) accredits all of our statutory and mandatory training courses as conforming to universally accepted Continuous Professional Development (CPD) guidelines.
The Mandatory Training Group is the leading UK provider of accredited statutory and mandatory training courses for all sectors, including health, safety and wellbeing, social care, education, local government, and many more.