Allergic reactions emergency first aid
Allergic reactions emergency first aid
Severe allergic reactions (anaphylaxis)
and
asthma attacks
related to allergies need emergency first aid.
If you (or a family member) have previously had
asthma
, or a severe allergic reaction, your doctor (GP) or nurse practitioner will complete an
Australasian Society of Clinical Immunology and Allergy (ASCIA) Action Plan for
Anaphylaxis
External Link
. Follow the plan if the symptoms of an allergic reaction appear.
Symptoms of a severe allergic reaction (anaphylaxis)
Symptoms of a severe allergic reaction include:
difficult or noisy breathing
swelling of the tongue
swelling or tightness in the throat
wheeze or persistent cough
difficulty talking or hoarse voice
persistent dizziness or collapse
pale and floppy (young children)
abdominal pain, vomiting – these are signs of anaphylaxis for
insect allergy
.
Signs of mild to moderate allergic reaction include:
swelling of the lips, face and eyes
hives
or welts
tingling mouth
abdominal pain, vomiting – these are signs of anaphylaxis for insect allergy.
Mild to moderate allergic reactions (such as hives or swelling) may not always occur before anaphylaxis.
If you have experienced any of these symptoms, you are at greater risk of having another severe reaction. Ask your doctor to refer you to a
clinical immunology/allergy
specialist
External Link
.
Emergency first aid for severe allergic reactions
A severe allergic reaction (anaphylaxis) is life-threatening and requires
urgent
action
External Link
.
Lay the person flat – do not allow them to stand or walk.
Give adrenaline injector (such as EpiPen® or Anapen®) into the outer mid-thigh.
Phone an ambulance – call triple zero (000).
Phone family or emergency contact.
Further adrenaline may be given if there is no response after 5 minutes.
Transfer person to hospital for at least 4 hours of observation.
If in doubt, give adrenaline injector.
Commence
CPR (cardiopulmonary resuscitation)
at any time if person is unresponsive and not breathing normally.
Always give adrenaline injector first, and then asthma reliever puffer if someone with known asthma and allergy to
food
,
insects
or
medication
has sudden breathing difficulty (including wheeze, persistent cough or hoarse voice) even if there are no skin symptoms.
Be prepared for severe allergic reactions
If you are at risk of a severe allergic reaction, make sure you:
Have an
ASCIA Action Plan for
Anaphylaxis
External Link
.
Carry a mobile phone to call for help when needed.
Carry an adrenaline injector (EpiPen® or Anapen®) to treat a severe allergic reaction.
Consider wearing medical identification jewellery – this increases the likelihood that adrenaline will be administered in an emergency.
Avoid medication (where possible) that may increase the severity of an allergic reaction or complicate its treatment – such as beta blockers.
Avoid the known allergen where possible.
Adrenaline injectors
Adrenaline works fast to reverse a severe allergic reaction, and
adrenaline
injectors
External Link
(EpiPens® and Anapen®) are designed for use by people who are not medically trained. If you are at risk of anaphylaxis, your doctor will have prescribed an adrenaline injector.
Emergency first aid for asthma attacks
If you have asthma, your doctor will prescribe medication and help you to develop a plan to
manage your asthma
and an action plan for asthma attacks.
Asthma can be well controlled with
medication
in most people.
If you, or someone you know, are having an asthma attack, follow the asthma action plan. In case of emergency, call triple zero (000) and ask for an ambulance. Tell the operator that someone is having an asthma attack.
Read more about
asthma emergency first aid
.
Where to get help
In an emergency, always call triple zero (000)
Emergency department of your nearest hospital
Your
GP doctor
NURSE-ON-CALL
Tel.
1300 606 024
– for health information and advice (24 hours, 7 days)
Australasian Society of Clinical Immunology and Allergy
(ASCIA)
External Link
St John Ambulance
Australia
External Link
Tel.
1300 360 455
Allergy & Anaphylaxis
Australia
External Link
Asthma
Australia
External Link
Tel.
1800 278 462