The Food Allergy Research & Education (FARE) Emergency Management of Anaphylaxis Summit was held early in September and to continue what was discussed, FARE is working with emergency response teams and associations to improve treatments. Emergency medical technicians are often the first-responders to an anaphylaxis emergency and one recommendation from the summit was to enable them to easily administer epinephrine injections quickly through enhanced training.

The summit convened representatives from two dozen leading organizations, institutions and medical facilities for the Emergency Management of Anaphylaxis Summit in Chicago. Attendees included food allergy experts, emergency physicians, paramedics and EMTs, emergency medicine educators, policymakers and advocates.

The results of the summit include recommendations that address understanding of anaphylaxis among those at risk and the general public, as well as recognition and treatment of anaphylaxis by pre-hospital and emergency department personnel. Specific recommendations from the summit that FARE and participating organizations will continue to work on included:

  • Creating a common description of anaphylaxis that may be used by healthcare professionals and patients for prompt and accurate diagnosis and treatment of anaphylaxis (including atypical presentations and biphasic reactions).
  • Facilitating partnerships with organizations representing the continuum of emergency care in order to improve recognition, treatment and long-term management of anaphylaxis.
  • Increasing usage of epinephrine, improving awareness of its first-line use in the management of anaphylaxis, and dispelling fears about contraindications and side effects.
  • Working with policymakers at every level to allow all EMTs to carry and administer stock epinephrine.
  • Improving emergency department discharge protocols so that patients, particularly those with first-time reactions, are better informed about how to manage the ongoing risk of severe allergic reactions and anaphylaxis. Results of a recent FARE survey showed less than a quarter of respondents were given information about food allergies, referral to an allergist or a prescription for an epinephrine auto-injector upon discharge from the emergency department.

FARE will issue an action plan based on those recommendations and use input from participants in the summit to complete that action plan and implement it.

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