toronto star article by 13-year-old

Author:
Updated:
Original:

Hi

I just noticed this article in the online version of the Toronto Star today. It's called "Don't go nuts on hallowe'en" and offers a 13-year-old pa child's perspective on Hallowe'en.

[url="http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1161856750065&call_pageid=991479973472&col=991929131147"]www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1161856750065&call_pageid=991479973472&col=991929131147[/url]

I think she did a great job and hope it makes people consider this when they are buying candies to give out.

Sarah

On Oct 27, 2006

Neat article, but for anyone reading it, please note that I'm confused about the possibly dangerous reference to keeping the person suffering from anaphylaxis in an upright position. The upright position has been connected to more deaths when the cardiovascular system is involved. Google "anaphylaxis" and "upright" to read several citations.

Keep airways clear, yes. Upright? I don't think so. Does anyone have info to suggest the best position? One article suggests the Trendelenburg position with head lower and legs elevated...but I don't know if there is a better position if vomiting is involved...I will do a search on this site. I like the article, but readers should be aware that the advice on the upright position is suspect.

Thanks! - April

[This message has been edited by April in KC (edited October 27, 2006).]

On Oct 27, 2006

If I remember correctly...it's about "not changing positions" while in the midst of an anaphylactic episode.

If you are upright, stay upright, don't lie down. If you are lying down, stay lying down, don't sit up.

I think the concern is that having your head over your heart or level with your heart can change blood pressure. So, the positional change, throws another curve into the reaction.

yeah? anyone?

Adrienne

------------------ 30-something survivor of severe peanut/tree nut allergy

On Oct 27, 2006

ok - found some things...

this page [url="http://www.dentalplans.com/articles/Anaphylaxis%20Requires%20Quick/"]http://www.dentalplans.com/articles/Anaphylaxis%20Requires%20Quick/[/url] talks about being in a lying position and then sitting up. It does not mention being upright to begin with.

"The posture of a patient can be very important when treating for anaphylactic shock. In one study, which reviewed 214 deaths associated with anaphylaxis over a 10 year period, four patients who died outside of the hospital setting did so within seconds of having their position changed to one that is more upright. Sitting upright after the onset of anaphylaxis caused a sudden loss of life.

One hypothesis is that during anaphylaxis, the capacity of veins and capillaries expand tremendously. When lying down, sufficient blood might be able to return to the vena cava, but when changed to a sitting position, the vena cava empties in seconds. This halts right ventricular filling, and within seconds, left ventricular filling also ceases and circulation stops."

and here: [url="http://www.clevelandclinicmeded.com/diseasemanagement/allergy/anaphylaxis/anaphylaxis.htm"]http://www.clevelandclinicmeded.com/diseasemanagement/allergy/anaphylaxis/anaphylaxis.htm[/url]

"At the very least, patients should be kept in the supine position, as deaths have occurred within seconds of moving a patient in the midst of an anaphylactic event from the supine to the upright position.25 " That reference (25) is: J Allergy Clin Immunol. 2003 Aug;112(2):451-2, Fatal Posture in Anaphylactic Shock

and here: [url="http://emj.bmjjournals.com/cgi/content/full/21/2/128"]http://emj.bmjjournals.com/cgi/content/full/21/2/128[/url]

"Neurocardiogenic syncope may also explain Pumphrey

Related