title: Potential life-threatening events in schools involving rescue inhalers, epinephrine autoinjectors, and glucagon delivery devices: reports from school nurses.
abstract: The purpose of this research is to use the reports of school nurses to facilitate the understanding of how schools experience and manage asthmatic, anaphylactic, and diabetic emergencies by quantitative and qualitative analysis of online surveys. E-mails with a link to SurveyMonkey® were sent to all U.S. members of the National Association of School Nurses (13,695). Subjects were asked to describe their self-reported knowledge, opinions, practices, and experiences with such emergencies and the devices used to manage them. Regarding the frequency of emergencies in a given school year, the medians were 8 for asthma, 0 for anaphylaxis, and 10 for hypoglycemia. Twenty-two, five, and one subjects, respectively, reported that events like these resulted in deaths during their careers as school nurses. These diseases create substantial potential for emergencies in schools, and the schools represented by these nurses appear to be somewhat, but not ideally, equipped to handle such crises.
authors: Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL 60515, USA.
authors: Katherine
authors: K
authors: Allen
authors: Kimbra
authors: K
authors: Henselman
authors: Brian
authors: B
authors: Laird
authors: Ana
authors: A
authors: Quiñones
authors: Thomas
authors: T
authors: Reutzel
mesh_terms: D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage; D000707:Anaphylaxis / Q000188:drug therapy / Q000451:nursing; D001249:Asthma / Q000188:drug therapy / Q000451:nursing; D002983:Clinical Competence; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000451:nursing; D016529:Emergency Nursing / Q000295:instrumentation / Q000379:methods; D004837:Epinephrine / Q000008:administration & dosage*; D005765:Gastrointestinal Agents / Q000008:administration & dosage; D005934:Glucagon / Q000008:administration & dosage*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015999:Multivariate Analysis; D009330:Nebulizers and Vaporizers; D012573:School Nursing / Q000706:statistics & numerical data*; D012574:Schools; D057566:Self Report; D013223:Statistics as Topic; D014481:United States
chemical_list: D000316:Adrenergic alpha-Agonists; D000318:Adrenergic beta-Agonists; D005765:Gastrointestinal Agents; D005934:Glucagon; D004837:Epinephrine