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131

DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT

I-11

Anaphylaxis, What School Personnel Need to Know

Information obtained from Emergent Anaphylaxis Protocol Mandated for all DoD Schools:

Emergency Response to Systemic Allergic Reactions - Anaphylaxis

General information

Anaphylaxis is a rare and extremely serious form of allergic reaction that may occur in

persons not previously known to be allergic or hypersensitive. The reaction ranges from mild,

self-limited symptoms to rapid death. Immediate action may be required to prevent fatality.

Causes-extreme sensitivity to one or more of the following:

Insect sting, usually bee or wasp

Food or pollen

Medication or immunizations/vaccinations

Industrial or office chemicals or their vapors

Latex

Anaphylactic Symptoms of Body Systems:

Any of the symptoms may occur within seconds. The more immediate the

reactions, the more severe the reaction may become. Any of the symptoms present

require several hours of monitoring.

Skin:

warmth, itching, and/or tingling of underarms/groin, flushing, hives

Abdominal:

pain, nausea and vomiting, diarrhea

Oral/Respiratory:

sneezing, swelling of face (lips, mouth, tongue, throat),

lump or tightness in the throat, hoarseness, difficulty inhaling, shortness of

breath, decrease in peak flow meter reading, wheezing reaction

Cardiovascular:

headache, low blood pressure (shock), lightheadedness,

fainting, loss of consciousness, rapid heart rate, ventricular fibrillation (no

pulse)

Mental status:

apprehension, anxiety, restlessness, irritability

Emergency Protocol for school personnel

1.

Summon school nurse if available. If not, summon designated trained, non-

medical staff to implement emergency protocol

2.

State the name of the person who needs assistance (if a student or staff

member), the location, and what difficulties/symptoms they are experiencing.

3.

DO NOT move the person. Help will come to your location.

4.

Keep the person calm and help to a comfortable position.