What would you do?

Posted on: Fri, 04/21/2000 - 8:16am
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Something I've been wondering about -

Have any of you considered what you would do IF you were in public and carrying your child's Epipen when a nearby stranger's child had his/her first anaphylactic reaction to food. What I mean is this: what if the parents didn't yet know the child was severely food allergic and therefore didn't have an Epipen?

Would you offer to take control of the situation? ANd if the parents asked you to step in and give the Epipen (since they would be scared and probably in awe of someone who could actually be knowlegeable of what is going on and possibly able to save their child's life), would you?

Even we are sometimes (all the time?) scared of needing to give the shot to our children - Can you imagine a parent experiencing this without ANY knowledge?

Legally, what are the implications? If you could be sued, would you still take the risk?
I feel certain that I would risk it, but I'm curious to hear if any of you see this differently.

I have thought about this before but got worried today when I was visiting our local children's museum with my son. The place was packed and an ambulance arrived - I finally saw that it was a middle-aged gentleman who needed medical attention and that it was not allergy-related. But what if it had been a child reacting to food (or a bee sting) and we had been standing right there as it happened?

I feel 99.9% sure that I would get totally involved since I believe in the Golden Rule and it would certainly apply in such a situation, wouldn't it!? Still, I wanted to see what you all think. I thought maybe some of you might see this differently and offer a perspective I had not considered.

It worries me, too, since food allergies are on the rise.

Posted on: Fri, 04/21/2000 - 10:03am
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pThere are many reasons not to intervene in such a situation. Each person who has been perscribed epi has had a thourough exam w/ their M.D.. We are NOT doctors we are parents. Epi is a perscription drug which cn cause adverse effects in some individuals...Cardiac patients come to mind right away. You are correct in saying you have some knowledge because of your own personnal experiences but don't abuse your small bit of knowledge./p
pMy niece sufferred her first big reaction in my presence. She has a congenital kidney defect. I did not offer up my epi. What I did do was help my dear sister buckle her up in the car, drive to the local E.R., and make sure they held her for observation in case she had a rebound reaction like my son has done in the past. We were also able to assure that my sister left that hospital with two very important things....a referral to a pediatric allergist and with her own epi.br /
That's what I'd do all over again too./p

Posted on: Fri, 04/21/2000 - 11:41am
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pjl:br /
Thank you for your reply - I'm glad you let me know about some of the reasons we should stay out of it. It would be hard, but I understand your points./p
pI recently took First Aid CPR and am supposed to be receiving certification in the mail. The course was so short and there was SO much information, but I don't really feel all that qualified because I doubt I can retain it all for very long. In fact, the EMT who instructed the course told all of us to just stand back and call 911 in the presence of emergent situations. He told us not to offer the information that we hold certification because then we would be legally bound to help... I admit I'm a bit confused here. Anyway, I guess it's knowledge to be used only with family until medical attention arrives./p
pThanks again, though, for making me see another side to this. I tend to think about "What if" situations a lot, and this is one that has been bothering me for a while (since our son had his first near-death reaction at age one and WE didn't know anything about pa nor did we have an Epi. I feel very lucky that our son survived that evening)./p

Posted on: Fri, 04/21/2000 - 4:02pm
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pAlso remember, it is illegal to dispense prescription drugs to anyone for whom it was not prescribed. Prescription meds are controlled substances just like illicit drugs. Not only could you be sued in civil court (especially if the child died from the reaction) but you could also be subject to criminal proceedings even if the epi stopped the reaction./p

Posted on: Fri, 04/21/2000 - 11:37pm
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pI think it depends on the situation, I carry a cell phone so I could offer a call for help, but many EMT's aren't allowed to carry epipens, so if it were life threatenting and their were witnesses to my offer and their acceptance I would hand them the epi to administer themselves, but it would be frightening./p

Posted on: Sat, 04/22/2000 - 1:43am
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pThere was a girl a year or two ago who gave her asthma inhaler to a friend at school who was having an asthma attack. They had previously compared inhalers and knew that they were on the same prescription. The girl was almost expelled from school for sharing her medicine./p
pYour best bet is to call 911./p

Posted on: Sat, 04/22/2000 - 9:20am
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pHi everyone,/p
pOK, OK, I think I've got it now (smile)! Thanks so much for reinforcing the legal aspects and the issues of varying prescriptions and/or allergic reactions to medicine. I just have an urge to help others so I wondered and worried about these possibilities./p
pIt would still be hard to just stand there and watch a child possibly die (don't you think?), but I understand your points made. But I guess I don't have to wonder anymore. I just hope it never happens... At least now I won't have to worry about what to do. /p
pMaybe I shouldn't have asked this question at all, but surely some of you have wondered just like me - I suppose I might be the only clueless one here on this issue, in which case I apologize for bringing it up. Either way, I appreciate all of your very helpful responses./p

Posted on: Sat, 04/22/2000 - 2:53pm
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pColleenMarie-/p
pI think the only situation where your knowledge would be helpful would be if a child was having a reaction let's say like on a field trip where their parents weren't present,Then and only then if someone had an epi with that persons name but was unsure or scared to use it you could inject them with their rx epi and be protected under the good smaritian(sp?) law as long as you acted in good faith.All reactions are different and something that might look like our childs reaction could be totally something else in another person.It is nice that you think about helping others./p

Posted on: Sun, 04/23/2000 - 1:07pm
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pI've thought about this too and thought that when 911 was called to tell them there was an epi-pen available and let them (911) make the decision./p

Posted on: Mon, 04/24/2000 - 1:39am
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pYou are not wrong for asking. I've been wondering the same thing. I've also wondered about CPR. It would be excrutiating to watch a situation like that and not help. My husband views the same situations more pratical-logical-legally then I do. I'm sure I would do SOMETHING. I don't know what. I hope you never have to face that situation. But, if you do keep in mind everything that has been mentioned here and the fact that you have an Epi-JR, which is designed for a small child.br /
To calm me when I get to far into the "what ifs", my husband tells me, 'IF "ifs" and "buts" were candy and nuts, what a fine Christmas it would be'. I know this more then likely doesn't help the situation, but it makes me think about how much energy I'm wasting on the "ifs".br /
Good luck and I'll continue to worry even at Christmas!/p

Posted on: Mon, 04/24/2000 - 4:40am
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pAs for the original question on this thread... I've been thinking about it, and still don't know how I would react. /p
pMy question stems from how many people have mentioned taking CPR. I took a class myself after finding out about my son's allergy (peanut and tree nut), but the instructor told me that CPR would not help if his airway was swollen closed. It's frightening, and it makes sense to me, but was anyone else told this?/p

Posted on: Mon, 04/24/2000 - 7:36am
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pYes, i was told the same thing about CPR. If the airway is swollen shut the CPR is completely useless. My ped.,allergist and school nurse all told me that and I read it somewhere also. It is good to know CPR for emergencies but it may not be helpful in an allergic reaction.Except,learning CPR I feel helps someone learn to stay calm and focused in a crisis situation./p

Posted on: Wed, 06/04/2003 - 12:41am
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Maggie,
If you know for sure it's a peanut exposure I would [b]definitely[/b] administer the epipen.
What if an hour later or 10 hours later she is lying in bed(cause you gave her benadryl and she seemed ok)and she had another reaction?
Listen to the allergist/Doctor they do know the importance of the epipen.
If your wondering what the heck she is reacting to(and know for sure it wasn't peanuts)
I would most likely use the benadryl without epipen.
That's me though....I live without a lot of the risk's that you Americans live with over there concerning foods.
P.S. edited to include that my pa.son has had funny signs(sneezing,itchy eyes,feeling impending doom because of smell, I would have administered benadryl but we went outside and he was fine)that's a reaction but not anaphylactic so why would I administer an epipen in that case?
Also, had a case of the body hives and if I had thought it could be a food reaction I would have definitely adminstered an epipen. I was just confident it wasn't food related because of my trust with the foods he is eating.
Hope this explains the reason why I wouldn't use the epipen in all cases.
If your daughter had reactions to a lot of foods....then that is a whole different ball game and the reason why the epipen is needed.
Also, I would call 911 without a doubt...it's worth the $50.00 charge for an ambulance to get in emergency right away!
JMO
[This message has been edited by smack (edited June 04, 2003).]

Posted on: Wed, 06/04/2003 - 12:45am
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Maggie
I answered this in the other place you posted but this question is different.
I have very strong feelings on this matter. My son has had three reactions and each time I drove him to the ER because I was afraid to call 911.
The first two times we went to a satellite ER very close to our home. No hospital attached. I looked around and wondered what would happen if he got worse. The second time after they gave him about six intramuscular injections, I insisted they start an IV. The doctor looked at me and said "This cannot be managed here." and wanted ME to take him to the ER from there.
I asked her to call paramedics and she said it would take them an hour to come since he was already being treated. She said take him yourself, he'll be fine.
It was midnight, I had to drive less than 2 miles through LA airport traffic. I was terrified but like an idiot I did it. I had never been to this hospital so did not really know how to get there even if it was very close to my home.
I put my son in the car with his IV and took off. Half way there he turned to me and said "if you think I am OK you are wrong." This freaked me out totally!!!!
I got so scared I could not find the turn to the hospital and made it there by God's grace alone! All the way there I was thinking "200 kids die every year from PA, how do you divide 200 into 50 states?" I finally got the answer of 40!!!! ( it is really 4 but I was so freaked out ) and I KNEW DS would be one of those 40!!!
And remember, I am a nurse. As things got worse and scarier, I got calmer! I almost calmed myself into a coma!
We got there and DS did fine but they put us in a waiting room. I almost banged the doors down to get him into a bed!
I will never put him in my car again. I have asked countless paramedics and they all say "we will come if you call for PA, we know how bad that can get." DS knows if he is alone to call 911 and he also knows he can over ride the decison of any adult and call 911 himself.
I revealed much more about myself than I am comfortable revealing. I hope it helps.
Peggy
[This message has been edited by Peg541 (edited June 04, 2003).]

Posted on: Wed, 06/04/2003 - 12:56am
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Maggie,
Whether or not to call 911 depends on how far you are from the hospital. I am so close to 2 major medical centers, that I could be at either one before the ambulance would even arrive at my house. However, an advantage of using the ambulance is that it spares you going through triage; you are generally seen sooner if you arrive by ambulance.
Amy

Posted on: Wed, 06/04/2003 - 1:44am
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The problem with driving yourself to the ER is you cannot treat a major medical emergency alone in a car. When I taught CPR we always taught to never take the person in your car. If the reaction accellerates in the car you are lost.
And boy when they put us in the waiting room of the ER we were not alone. It was darn scary with all sorts of people there and eating all sorts of food. And coughing and bleeding. It was very scary for us both and I did not think DS needed the angst added to his already scary situation.
The ambulance stretcher was pulled right through the doors, right past my son suffering a potentially fatal allergic reaction.
In the third ER (third reaction) we saw a triage nurse only after I bullied a volunteer who thought DS looked "just fine" to wait it out. While we waited for the nurse three stretchers came by with healthy looking people on them, people who took beds my son had to wait for.
For us we will always call 911 and make the loudest noise till he gets seen. You just never know if you will get a good triage nurse who understands the situation and you NEVER know what you will meet up with in a waiting room.
Peggy

Posted on: Wed, 06/04/2003 - 2:04am
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Dr Sampson did a study on fatal and near fatal anaphylactic reactions in 1992.
Here is his conclusion:
CONCLUSIONS. Dangerous anaphylactic reactions to food occur in children and adolescents. The failure to recognize the severity of these reactions and to administer epinephrine promptly increases the risk of a fatal outcome.
His abstract states:
The six patients who died had symptoms within 3 to 30 minutes of the ingestion of the allergen, but only two received epinephrine in the first hour. All the patients who survived had symptoms within 5 minutes of allergen ingestion, and all but one received epinephrine within 30 minutes. The course of anaphylaxis was rapidly progressive and uniphasic in seven patients; biphasic, with a relatively symptom-free interval in three; and protracted in three, requiring intubation for 3 to 21 days.
Here is a summary article:
[b]Food Allergies: Danger of Wait and See[/b]
A new study by Hugh Sampson, M.D., associate professor of pediatrics at Johns Hopkins University, suggests that [b]deaths or near-deaths of children with food allergies could be averted if parents and other caretakers considered the symptoms serious and obtained immediate medical treatment. [/b]
Writing in the New England Journal of Medicine, Dr. Sampson described six cases of fatal anaphylaxis and seven cases of near-fatal anaphylaxis that occurred in children or teens who inadvertently consumed a food allergen.
Although food-induced anaphylaxis occurs only rarely, its symptoms can be life-threatening: itching, hives, wheezing, swelling of the lips and throat, vomiting, loss of consciousness and cardiopulmonary failure.
Dr. Sampson analyzed 13 cases of food-induced anaphylaxis that occurred in persons two to 17 years old, most of whom lived in three major metropolitan areas. All of the individuals had asthma and a history of anaphylactic reactions to food. All 13 reactions were to common food allergens-tree nuts, peanuts, eggs or milk.
In most of the cases, the allergens were found in commercially prepared food products that had been appropriately labeled. But the foods were given to the individuals out of the package, who consumed them without knowing their ingredients.
Four of the six cases of fatal food anaphylaxis occurred while the children and teens were at school. Symptoms began three to 30 minutes after eating the allergen and became severe between 20 minutes and two and one-half hours later. In three cases, epinephrine had been prescribed for the patients but was not available during the reaction.
Epinephrine is a hormone that counteracts the symptoms of anaphylaxis by raising blood pressure and opening the air passages to the lungs. Available by prescription, the medication is contained in a pen-like instrument that can be readily injected by pressing the point against a person's thigh.
The seven near-fatal cases of anaphylaxis occurred at private homes, mostly at those of friends or relatives. Although epinephrine was not administered immediately, all patients did receive it before their anaphylactic symptoms became severe.
According to Sampson, the study points to the need for parents, physicians, school personnel, day-care providers and others to take food allergy more seriously.
"Because there are so many people today who claim to have food allergies, many physicians have become Odesensitized' to taking their symptoms seriously," Sampson said. "Those few with true food allergies must be given appropriate medical attention and should be instructed to take epinephrine immediately after experiencing a reaction."
In an accompanying editorial, John Yunginger, M.D., of the Mayo Clinic, said that children over the age of seven can be taught to inject themselves with epinephrine. But, some state laws delay life-saving treatment by prohibiting nonmedical personnel from administering the drug.
**********************************
I personally consider the risks of waiting too long too high so my choice is to err on the side of caution and administer the epipen.
take care
deb
(sorry about the length)

Posted on: Wed, 06/04/2003 - 2:54am
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Don't apologize Deb, this is the article we live by.
Peg

Posted on: Wed, 06/04/2003 - 3:20am
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Thanks for sharing your thoughts and experiences. I really did need to hear all of this. It gives me some reassurance that I will be doing the right thing. When we first learned of dd

Posted on: Wed, 06/04/2003 - 3:55am
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deb, thanks for raising that important article, (it's amazing that only as recent as 1992 they were claiming food allergies a rarity), it helps remind us all to be on guard and not take anything for granted.
Maggie, it's quite possible that the GI symptoms were related to PA. I forget which thread, but I remember one mother telling about how her son had re-occurring hives for over a week after an exposure to peanut butter. I wish we had some real experts who could tell us about peanut allergy, but it seems like we're it.
I think that also with your daughter suffering from asthma, it's important that you use the epi when it's a known exposure. The asthma puts her in a higher risk group than if she just had PA.
I hope some of this helps.

Posted on: Wed, 06/04/2003 - 4:02am
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It all helps a lot! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
Thanks!

Posted on: Wed, 06/04/2003 - 4:17am
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Maggie, I just dealt with an anaphylactic reaction in my son last night. This is how I handled it. He had not eaten in over an hour (all foods that he has had before). We were at a ball park, he played in the bushes for a few minutes, played on the monkey bars and then was rolling down a grassy hill. He came to me crying that his hands and eyes hurt. I gave him benedryl and checked on him a few minutes later (I am the coach of the team, so I was coaching and asked our first aid mom to sit with him). He was covered in hives and complained about his throat hurting, then he started wheezing and coughing. I injected him immediately and had another parent call 911. By the time we got to the hospital his face was all swollen but his breathing was much better.
I will never hesitate to inject the adrenaline, and will always go to the hospital by ambulance. I agree with everything Peg said, you cannot handle an emergency and drive at the same time, this is how many people cause accidents (killing themselves and others). The ambulance attendants are equipped to handle just about anything, can put the sirens on and run red lights if need be, and can alert the hospital staff and have them waiting while you are on your way.

Posted on: Wed, 06/04/2003 - 4:58am
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When DS has an ingestion reaction I always ask the ER doc "What will happen once he starts to digest those peanuts?"
That always prompts them to send us home with a Medrol Dose Pack and Benadryl every 6 hours for a few days. Also a medication to protect his stomach from the steroids.
DS had that secondary reaction and it was terrifying and he will never go thru that again if I can help it.
DS carries a list of what he was given in the ER for all of his reactions, he is instructed to give this to the 911 personell so everyone knows what he needs.
I am not in favor of him vomiting to get rid of the peanuts because in my feeling the peanuts coming up do as much damage as they did going down. He always experiences nausea and I prompt them to treat it quickly.
Remember, you are the common denomiator in the ER. You know what was done the last time and how the reaction progressed and if you are in a strange hospital you really should be able to give some sort of advice or at least knowledge of what went on before so they have an idea of what to expect, especially a secondary reaction.
Peg

Posted on: Wed, 06/04/2003 - 7:55am
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cynde, I'm so sorry to hear that your son had a serious reaction the other night.
Has this been the first time you had to use the epi and how are you both feeling now?
Thanks for sharing your story. It helps us all know how even in a familiar situation it can suddenly turn bad.

Posted on: Wed, 06/04/2003 - 10:31am
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I agree with Peg, I am also wondering what medicines your son recv'd to protect his stomach from the steriods? My 4 yr old ds just had a reaction this morning, and will be on Prednisone for the next 5 days.
He was at a friends house and had a bite of an EL Fudge cookie (w/peanut flour in it). He screamed immed. and the mom gave him Benadryl and called me, we didn't know at the time about the cookie. We met at the ER (1 mile away). He seemed OK, but then vomitted and developed hives, they admin. epi, and steriods, and more benadryl. He is doing well now, but I am feeling quite guilty. It is a big reminder to constantly remind friends, family and always send our own food, I rarely did this at two of his friends houses, but everywhere else I would.
THanks for listening.
Edited to add that he had an epi with him, and does always!
Jill
[This message has been edited by JSaastad (edited June 04, 2003).]

Posted on: Wed, 06/04/2003 - 11:05am
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River, unfortunately this was the third time I've had to inject my son. Luckily it worked out well and he is fine. I on the other hand am an exhausted basket case.

Posted on: Wed, 06/04/2003 - 11:31am
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As far as driving to the ER or calling 911, I know next time (if there is one) I'll call 911.
My daughter (3 yrs)took a bite of a cookie containing peanut butter while we were out of town on Thanksgiving. She told me the chocolate cookie made her throat feel weird. I knew right away what was going on. I gave her the epi pen and my sister and I drove her to the ER. Everything seemed fine on the way there and during the paperwork, but while in the waiting room she started having another reaction. The idiot receptionist smiled politely at me and told me there was still one person ahead of me when I asked for her to be seen immediately. Can you believe?? So I insisted and we had a long scary night ahead of us.
The benefit of 911 is not going thru the waiting room process. I'll never subject my daughter to that again.
Laurie

Posted on: Wed, 06/04/2003 - 1:26pm
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during bryce's first reaction, we were made to sit in the waiting room for the longest time. her face was fully swollen and hard, she was covered in huge hives from her head down to her waist and fingertips, and she was breathing with difficulty. we were made to fill out paperwork and wait for a person or two ahead of us to go through to see the doctor. i was so upset and didn't understand what was happening to her. knowing what i know now i would have raised nine kinds of hell. at the time, i didn't even know what peanut allergy was and that she was in anaphylaxis. i will never sit quietly again while my child is experiencing a reaction while some idiot checks my insurance and lets sore throats and ear infections go ahead of my child. from now on i will use our meds and either call 911 and get an ambulance OR scream at the top of my lungs as i enter the E.R. no way will i do it like we did in that first reaction.
joey

Posted on: Thu, 06/05/2003 - 11:14am
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Another option which no one has brought up is going to your own allergist. When I had to use the Epi in 1997, I figured I could get to the allergist within 15 minutes before the Epi wore off so I did that. I called from my car, and told them we were coming. When we got there, the doctor came out to eyeball my daughter before we had even sat down. She was actually fine after the epi, but at least we were seeing someone trained to deal with anaphylaxis, and who knew how serious it was. Of course if it is evening or Sunday, that isn`t an option. We were lucky---it was on a Saturday morning so the allergist`s office was open. The advantage was they knew us, and I knew they could deal with anaphylaxis; the ER is such a big unknown.

Posted on: Thu, 06/05/2003 - 12:38pm
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Quote:Originally posted by JSaastad:
[B]I agree with Peg, I am also wondering what medicines your son recv'd to protect his stomach from the steriods? My 4 yr old ds just had a reaction this morning, and will be on Prednisone for the next 5 days.
B]
They put him on about 2 weeks worth of AXID. It did the trick.
Good luck to you guys.
Peg

Posted on: Thu, 06/05/2003 - 12:43pm
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carefulmom, Hi, Im not questioning your decision Im just wandering if this is advised? Are they prepared at most allergists to handle the reaction going really bad, such as having to intubate, etc.?
Again, honestly wondering, not critisizing your choice.

Posted on: Thu, 06/05/2003 - 12:46pm
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Carefulmom and Joeybeth,
I agree with calling 911 from now on. You should never be put into a waiting room by some da** clerk who has no idea what is happening to your child.
I'd make the loudest fuss I can, get myself surrounded by security guards and get my son into a bed immediately.
You can take some comfort in knowing you are in a hospital but a waiting room is not much comfort.
I would also say to NEVER take your child to the allergist during a reaction. The allergist has precious little in his office to treat something as life threatening as anaphylaxis. If things go too far he is going to have to call 911 anyway, PLUS you should be observed for a minimun of 4 hours in an ER after a reaction. The allergist cannot do this for you.
911 will take you to the nearest hospital where they have numerous doctors, nurses, technicians, drugs, x ray eqipment and equipment to run a cardiac arrest if things get too far.
I do not mean to scare you but anaphylaxis is as close to death as you can get.
Peg

Posted on: Thu, 06/05/2003 - 1:10pm
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Actually our allergist is VERY equipped to deal with anaphylaxis, that is why we went there. When they give allergy shots, there is always a risk of anaphylaxis, that is why it is recommended to get allergy shots at an allergist`s office because a pediatrician is not prepared to deal with anaphylaxis and an allergist is. The allergist has the same equipment, IV`s, oxygen, etc as the ER, and the advantage is that you know the person knows how to treat anaphylaxis, whereas at the ER it is anybody`s guess. Since I called them from my car when I left the house, if they weren`t equipped to deal with anaphylaxis all they had to do was tell me to take her to the ER which they didn`t because they felt they could handle it better than the ER. The only reason I would even consider taking dd to the ER for anaphylaxis is if the allergist is closed (Sunday or evening). Otherwise I would much rather have someone who has experience with anaphylaxis than someone in the ER who might or might not have experience with it. It is unsafe to give allergy shots without being fully equipped for anaphylaxis, so if your allergist gives allergy shots (I think they all do), then I would have to assume they are fully prepared to deal with anaphylaxis. Even better, they are only dealing with your child, not five different patients all with various life threatening emergencies like what can happen in an ER. When we have gone to the ER in the evening (not for anaphylaxis, but a few times for asthma, and a couple of times with my father), sometimes the doctor is dealing with several life threatening emergencies all at once. I remember taking my daughter for a laceration and the doctor was not very good. I remember thinking "it`s a good thing that she will only end up with a larger than necessary scar on her knee rather than having something life threatening". I have also been to the same ER, and seen another doctor for her when she needed a spinal tap. He was great. The problem is when you go to the ER, there is just no way to know how the doctor will be. I just can`t take that unnecessary chance if I know the allergist will know exactly what to do for anaphylaxis.

Posted on: Thu, 06/05/2003 - 3:31pm
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.
[This message has been edited by StaceyK (edited October 21, 2004).]

Posted on: Wed, 06/11/2003 - 6:17am
terri-peanut allergy teen's picture
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Joined: 04/20/2003 - 09:00

i would give the epi-pen anyway, because benadryl sometimes doesn't work, and symptoms can reappear. also, the epi-pen will work faster and more effectivley than the benadryl because it is designed specifically for anaphylaxis, while benadryl isn't.

Posted on: Wed, 06/11/2003 - 7:19am
Jo's picture
Jo
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Joined: 10/24/2002 - 09:00

My PA son has only had one reaction since the initial exposure. With that one reaction I gave him Benadryl and took him myself to the hospital. Now maybe thingsare different here in Canada but when I told them what was happening the took us in right away and treated him like an emergency. I would not expect anything less. We were there for 10 hours so that they could keep an eye on him. This was on Easter Sunday, three years ago. Every situation is different and for my son,unless he actually eats a peanut, I will give him the benadryl and take him myself to the hospital.
------------------
Take care,

Posted on: Thu, 08/05/2004 - 11:03pm
Going Nuts's picture
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Welcome!
I usually hesitate to answer these kinds of questions because I'm not an MD!
I guess in this case I might wait a bit longer before doing the challenge. Hopefully, the skin test was a false positive, and he really is negative. However, as scary as a challenge would be for me under any circumstance, a challenge in such a young child would really frighten me.
Good luck, whatever you decide.
Amy

Posted on: Fri, 08/06/2004 - 12:35am
MayaLily's picture
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Joined: 07/01/2004 - 09:00

well...has the allergist said he wants to do the challenge at this appointment or was he vague about when it would be done... maybe "sometime" is farther in the future? personally I would wait until after the age of 3 to do a challenge...and even then I would do a SPT first to see if there's another skin reaction. I would talk to the allergist during this appointment and discuss any and all risks that the exposure during a challenge would entail, and if you decide to do it...do it later on.
but that's just what I'm thinking now...I'd have to talk to the dr before really making a decision like that.
kristen [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Fri, 08/06/2004 - 5:56am
Cindia's picture
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Hi and Welcome!
I think I would lean towards waiting as well. His body is going thru such tremendous changes right now. Just to be safe, I think that continuing to assume a PA and adjusting the diet accordingly might be the way to go. Perhaps before he enters school, you can have him retested and challenged. Also, each test is a bit traumatic. I know for my son, I avoided tests that weren't absolutely necessary since he was/is so upset by them. (needles & such)
Cindia

Posted on: Fri, 08/06/2004 - 11:46am
Scooby's picture
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Joined: 04/09/2000 - 09:00

I would have another round of RAST and skin prick tests done. SP has a high rate of false postives. RAST is prone to lab interpretation and error.
DS once had a negative RAST. I was ecstatic that he might have outgrown the allergy. He has had at leat 6 other RAST/CAP or SP done that show otherwise. It was probably a lab error.
Good luck to you and your child!
[This message has been edited by Scooby (edited August 06, 2004).]

Posted on: Sat, 08/07/2004 - 9:46am
becca's picture
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Joined: 05/22/2001 - 09:00

My allergist likes to wait until at least 5 years old before challenging peanut, since it is the recommended age to which to avoid it even if just a high risk. I have a baby now, so we had recently discussed it. If a child with KNA, but a sibling with PA should avoid for 5 years, I would think one would not food challenge a known positive child before that as well. becca

Posted on: Mon, 08/09/2004 - 1:28am
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Joined: 05/28/2009 - 16:42

Thanks eveyone!
I'm a little suprised that no one would even consider a challenge to find out. I feel a little silly for even considering it. It sure would be nice to know one way or the other, but I can wait. It hasn't been all that hard to avoid peanuts yet due to his age but I can see that it will get more challenging as he gets older and into preschool etc. But the milk will always be dificult to avoid so what's one more.
~~S~~

Posted on: Wed, 06/20/2007 - 2:01am
2BusyBoys's picture
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Joined: 09/03/2004 - 09:00

Soy is very difficult to avoid, as I am sure you are aware. Why avoid it if you don't have to? If it were my child I would talk to my allergist about an in-office challenge. I would do it for the soy only as you have already seen the results of peanut ingestion.
Good Luck with what ever you decide.

Posted on: Wed, 06/20/2007 - 2:19am
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Joined: 06/15/2004 - 09:00

My son is allergic to soy. I would definitely avoid, as your child is so young, if there is only a slight allergy/tendency toward it, she could outgrow with avoidance. Soy is not hard to avoid at all. The soy that is in most products is the oil and the lechthin, both of which are safe (for most people with soy allergies). Ds eats food with both safely. The only things we really watch out for are some baked items will list soy flour or soy protein, but there are not that many, and of course any obvious things like tofu or soy milk, and those aren;t anything kids are clamoring for [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
[This message has been edited by mcmom (edited June 20, 2007).]

Posted on: Wed, 06/20/2007 - 2:54am
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Joined: 12/14/2006 - 09:00

I do the same as mcmom....avoiding blantant soy products but soy lechtin(never been a problem)...maybe avoid it for 6 more mnths and retest and see if she outgrew it. Then continue to avoid the peanuts for sure, she is still young, which is good for these results, hopefully that will mean possibly outgrowing both!!! My 3yr old has avoided soy and peanuts thus far, I will readdress/retest this fall(he'll be 4) and go from there. Good luck
------------------
Chanda(mother of 4)
Sidney-8 (beef and chocolate, grasses, molds, weeds, guinea pig & asthma)
Jake-6 (peanut, all tree nuts, eggs, trees, grasses, weeds, molds, cats, dogs, guinea pig & eczema & asthma)
Carson-3 1/2 (milk, soy, egg, beef and pork, cats, dog, guinea pig and EE)
Savannah-1 (milk and egg)
Foster Mom to
Cody-10 (seasonal/environmental allergies)
Jordan-6 (also seasonal and environmental)
[This message has been edited by chanda4 (edited June 20, 2007).]

Posted on: Wed, 06/20/2007 - 2:55am
elmh23's picture
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I would do a challenge except dd will not drink soy milk and wouldn't touch tofu whrn Ii offered it. She's definatly a food avoider!
I'm glad to hear that I could just avoid the flour and protien because the oil is in everything!

Posted on: Wed, 06/30/2010 - 4:03am
BestAllergySites's picture
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I posted an additional comment at your original thread. ;)

Posted on: Sun, 07/04/2010 - 11:39pm
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Joined: 01/16/2007 - 09:00

If that was my daughter I would have called the manager. Tell your daughter that she needs to protect herself and don't wait for anyone's permission to leave to get her epi or meds if she is having a reaction! I would make the manager aware. I would be furious!

Posted on: Sun, 08/08/2010 - 8:08pm
JohnConnor12's picture
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Joined: 08/09/2010 - 02:45

Peanut allergy is a type of food allergy distinct from nut allergies. It is a type 1 hypersensitivity reaction to dietary substances from peanuts causing an overreaction of the immune system which in a small percentage of people may lead to severe physical symptoms. It is estimated to affect 0.4-0.6% of the population.
The most severe peanut allergies can result in anaphylaxis, an emergency situation requiring immediate attention and treatment with epinephrine.
It is usually treated with an exclusion diet and vigilant avoidance of foods that may contain whole peanuts or peanut particles and/or oils.
Currently there is no confirmed treatment to prevent or cure allergic reactions to peanuts; however some children have been recently participating in a method of treating the allergy to peanuts. This method consists of feeding the children minuscule peanut traces which gradually become larger and larger in order to desensitize the immune system to the peanut allergens. Strict avoidance of peanuts is the only way to avoid an allergic reaction. Children and adults are advised to carry epinephrine injectors to treat anaphylaxis.

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