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attendance sheet on the table


in the front.
Thanks!
Pitt Student EMS

Quick Note About Attendance


Each attendance at a SEMS meeting will be 1 point
Each off campus outreach event will be 2 points
CPR Classes will not count for points
Points can be awarded or revoked on an executive decision
basis
Before conference an accumulation of points will determine
those who are eligible to attend conference
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Things to talk about before lecture:


EMS Ready Campus- MCI Drill Committee
Wilderness day Saturday October 17th Interest? Cars?
Photo Shoot For Video

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Allergic Emergencies
By Lily Roth, EMT-B

Pitt Student EMS

Objectives
Be able to define and understand the science behind an allergy/allergic
reaction
Be able to distinguish potentially anaphylactic allergies from other allergic
diseases and intolerances.
Be able to define, recognize and treat anaphylactic shock with basic life
support
Recognize different auto-injectors and learn to use them!

Pitt Student EMS

What is an allergy?
Immune Systems normal
job-protection
Only treatment for food,
medication, venom and
latex allergies is avoidance
Mechanism of an Allergic
Reaction:
Image: Lily Roth

Pitt Student EMS

What is Anaphylaxis?
Severe, potentially life threatening

STOP

Systemic Reaction (Histamine Released Everywhere)


Conditions That Dont
Integumentary
GI
Psychological
Cardiovascular
Pulmonary

Causes
Food

Cause Anaphylaxis
Food Intolerances
(Lactose Intolerance)
Oral Allergy
Syndrome
Celiac Disease
Eosinophilic
Esophagitis Photo: Lily Roth
Pitt Student EMS

Criteria of Allergic Emergencies- As Per BLS Protocols


Severe Allergic Reaction:
Symptoms:
Difficulty breathing and wheezing
Swollen tongue and lips or difficulty swallowing
Hypotension
Common allergens that may lead to allergic reactions include
Bee/ Wasp/ Hornet stings
Medications (e.g. antibiotics)
Foods (e.g. peanuts, seafood)

Moderate Allergic Reaction: A patient with a moderate allergic reaction may have
Symptoms:
Mild shortness of breath with wheezing
Extensive hives and itching
Mild tongue/ lip swelling without difficulty swallowing or shortness of breath

Pitt Student EMS

Treatment For Patients With Prescribed Epi- As Per BLS


Protocols
Initial Patient Contact (Protocol #201)
Consider ALS if available (Protocol #210)
Administer oxygen
Determine severity of patient symptoms
For severe symptoms:
If patient has auto-injector, assist with administration of one pen
Adult Dose .3 mg
Pediatric Dose .15 mg
For moderate symptoms:
Contact medical command before using epi
Monitor Vitals including pulse ox (protocol #226) and reassess patient
Contact Med Command- May order assist with a second auto-injector
Transport
Pitt Student EMS

Treatment For Patients With Stock Epi- As Per BLS Protocols


Initial Patient Contact (Protocol #201)
Consider ALS if available (Protocol #210)
Administer oxygen
Determine severity of patient symptoms
For severe symptoms:
Contact med command, administer one pen
Adult Dose .3 mg
Pediatric Dose .15 mg
For moderate symptoms:
Contact medical command before administering epi
Monitor Vitals including pulse ox (protocol #226) and reassess patient
Contact Med Command- May order administration of a second auto-injector
Transport
Pitt Student EMS

Important Notes- As Per BLS Protocols


Patients with mild reactions can still develop more severe reactions. Patients should be
continually assessed for development of more severe symptoms
EMT may need to administer prescribed epinephrine if patient has decreased
consciousness
Make sure epinephrine auto-injector is prescribed to the patient and isnt expired
Side effects of Epi
Common: Tachycardia and Anxiousness
Rare: Nausea, Dizziness, Vomiting, Chest Pain, Excitability, Headache and Pallor
Use caution in patients over 55 years old
Bystander epinephrine auto-injector can be used if med command is contacted
Dispose of used auto-injector in biohazard container

Pitt Student EMS

Epinephrine Auto-Injectors
Marketed Epinephrine Auto-Injectors
Auvi-Q
Epipen
Adrenaclick (generic)

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Quick
Demonstration
You will be using trainers after the break with your groups.
They contain no needle or medication
Please dont stab anyone who doesnt want to be stabbed
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Questions?
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Quick Break
Be Back In 10
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SCENARIOS!!!!!

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Dispatch- Allergic Reaction


SEMS 1 is dispatched class 1 to Market for a 19 year-old
female student having an allergic reaction.
Hx (past medical history): Multiple anaphylactic food
allergies and asthma
Friend states pt. (patient) has auvi-q
Friend states pt. is having trouble breathing.
Background story: Patient was at the Thanksgiving dinner
when a food fight ensued and before she escaped, mashed
potatoes (pt is allergic to the potatoes, milk and butter)
landed in her mouth. Her friend was able to help get the
other food residue off of her but it was too late.
Vitals:
Pre-Epi:
Post-Epi:
BP:
HR:120
150RR:
RR:19
15O2:
O2:90%
98%
BP: 118/70
90/60 HR:

Pitt Student EMS

Dispatch- Lion Attack


SEMS 15 is dispatched to the Pitt Program Council Petting zoo
outside the union for a 20 year old male who was bit on the hand by
a lion while petting it.
Hx (past medical history): Hemophilia (blood clotting disorder)
Patient has pressure applied but the bleeding hasnt stopped.
Patient is getting confused
Vitals:
Set 1:
BP: 100/80 HR: 150 RR: 20 O2: 99%
Set 2:
BP: 90/70 HR: 150 RR: 22 O2: 99%

Pitt Student EMS

Medical- Allergic Reaction

Trauma-Lion Attack

SEMS 1 is dispatched class 1 to Market for a 19 yearold female student having an allergic reaction.

SEMS 15 is dispatched to the Pitt Program Council


Petting zoo outside the union for a 20 year old male
who was bit on the hand by a lion while petting it.

Hx (past medical history): Multiple anaphylactic food


allergies and asthma
Friend states pt. (patient) has auvi-q
Friend states pt. is having trouble breathing.
Background story: Patient was at the Thanksgiving
dinner when a food fight ensued and before she
escaped, mashed potatoes (pt is allergic to the potatoes,
milk and butter) landed in her mouth. Her friend was
able to help get the other food residue off of her but it
was too late.

Hx (past medical history): Hemophilia (blood


clotting disorder)
Patient has pressure applied but the bleeding
hasnt stopped.
Patient is getting confused

Pitt Student EMS

Between Now and Next Meeting...


Vote on the Doodle Poll on times for taking group photos for the Hands Only
CPR Video
Fill out the roster if you havent already
Be sure to come to the next meeting if you are planning on coming to
conference
We will have T-shirts at the next meeting! If you cant come to the next meeting
but pre-ordered a shirt, let us know and we will find a time for you to pick it up.
Keep an eye out for the Wilderness Day Survey! ESPECIALLY if you have a car
and are willing to drive!
Pitt Student EMS