[Allergy emergencies in children: care at school].
Half of the life of children is spent in schools. Emergencies may occur, due to food anaphylaxis or other allergic causes. Main clinical pictures are anaphylactic shock, laryngeal angioedema, acute asthma. Lethality is a risk. Recent French rules go into more details about the management of emergency cases and the need of training for teachers and other members of the educational staff. The need to use injectable i.m. adrenaline is underlined in a protocol with consents of parents and agreement of all parties. Eviction diets are not yet guaranteed so that parents are allowed to provide their children with suitable meals. The authors debate about the indications of such protocols.
Moneret-Vautrin
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DA
Hôpital Central, Service de Médecine Interne, Immunologie Clinique et Allergologie, Université Nancy 1.
D000293:Adolescent; D000707:Anaphylaxis / Q000188:drug therapy / Q000453:epidemiology; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D004630:Emergencies; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D005568:Forms and Records Control; D005602:France / Q000453:epidemiology; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000188:drug therapy* / Q000453:epidemiology; D007273:Injections, Intramuscular; D007819:Laryngeal Edema / Q000188:drug therapy / Q000453:epidemiology; D008297:Male; D012306:Risk; D012572:School Health Services / Q000458:organization & administration*; D013224:Status Asthmaticus / Q000188:drug therapy / Q000453:epidemiology
D018927:Anti-Asthmatic Agents; D004837:Epinephrine