Royal College of Paediatrics and Child Health

The RSPH has produced a guideline, which CEM has approved. Most of it doesn't affect us, as Emergency Providers - but it is again, a very useful summary that emphasises the importance of sending blood for tryptase levels.

I think most EDs complete most things here, except some of the educational facets of the guideline.

The guideline states we should:

• refer to an allergy clinic directly, via the GP using a local clinic or by checking the BSACI website
• provide a basic prevention and treatment package that includes:
•  basic avoidance advice based on the suspected trigger(s) 
• provision and training in the use of an adrenaline injector
• provide access to patient/parent/carer support group information

 Most emergency departments I know would admit a patient with a suspected anaphylactic reaction and assume that Paediatricians provided the above follow up.


Above frame from: http://www.rcpch.ac.uk/allergy/anaphylaxis.