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15487

A Shot to Live, Prevention and Management of School-Related Anaphylaxis

Saturday, October 20, 2012: 8:32 AM
Room 270 (Morial Convention Center)
Benjamin L. Wright, M.D.1, Ashley E. Call, M.D.1, Kelly G. Follett, M.D.1, Amy Rapp, M.D.1, Jennifer G. Brinton, M.D.1, Michelle Fogg, B.S.2 and Mandy A. Allison, MD, MSPH3, (1)Department of Pediatrics, University of Utah, Salt Lake City, UT, (2)Utah Food Allergy Network, Salt Lake City, UT, (3)Children's Hospital Colorado, Aurora, CO

Background

Utah students are at risk for fatal anaphylaxis in school due to lack of:  school nurses, adequately trained school staff and standardized approach to food allergy emergency planning. The Utah Emergency Injection for Anaphylactic Reaction Act allows trained individuals to administer unassigned epinephrine in an emergency; however, few schools are prepared to do this.

Program Goals

  1. Help Utah schools identify children at risk for anaphylaxis due to food allergy.
  2. Develop a Food Allergy Action Plan for each identified child in conjunction with parents, school nurses and physicians.
  3. Train school staff to know when and how to administer epinephrine.
  4. Ensure that each school has access to unassigned epinephrine.

Program Description

Beginning May 2011, A Shot to Live has sought to accomplish these goals by:

  1. Forming community partnerships
  2. Raising awareness of food allergies in schools
  3. Developing a standardized, web-based curriculum that helps trainees:
    • Understand the impact of food allergies on school children
    • Recognize anaphylaxis
    • Learn how to treat anaphylaxis using an epinephrine auto-injector (Epipen)
  1. Assisting schools to acquire unassigned epinephrine by:
    • Clarifying Utah law
    • Identifying a prescribing physician
    • Obtaining funding 

Evaluation

A Shot to Live is funded by an AAP resident CATCH grant. Our community partnerships include the Utah Food Allergy Network (UFAN), the Utah Medical Association (UMA), the Utah School Nurses Association (USNA) and the Utah Department of Health (UDOH).

We generated support from parents of food allergic children through our alliance with UFAN. UFAN recently obtained a grant through the Food Allergy and Anaphylaxis Network to purchase their comprehensive school food allergy management program for every Utah school district and will incorporate the Shot to Live training in their presentation of this curriculum.  We garnered Utah physicians’ support through passage of a resolution in the UMA. The USNA adopted our training, which will be presented to every Utah school nurse via webinar. 

We created the curriculum in cooperation with UDOH and school nurses. Our curriculum incorporates a registration feature that allows UDOH and school nurses to track trainees and know when annual refresher training is due. We determined the current availability of unassigned epinephrine and number of trained first responders in Utah schools. Dey Pharmaceuticals donated Epipen trainer devices and their school discount for Epipens is publicized on our website (ashottolive.org). As a result of our efforts, the Salt Lake City School District will require each of its schools to stock an unassigned Epipen.

Discussion

Our campaign aims to reduce the morbidity and mortality associated with school-related anaphylaxis by ensuring that each school has an unassigned Epipen and trained staff. Through community partnerships, a standardized online curriculum and a registration system we have created a sustainable school health intervention.