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I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

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Monday 29 July 2013

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.

1 comment:

  1. http://onlinelibrary.wiley.com/doi/10.1111/all.12318/abstract?utm_content=buffer5789f&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer

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