The Ability of First Aid Providers to Recognize Anaphylaxis: A Scoping Review.
anaphylaxis
diagnosis
first aid
lay provider
prehospital
recognition
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
22
04
2023
accepted:
07
07
2023
medline:
9
8
2023
pubmed:
9
8
2023
entrez:
9
8
2023
Statut:
epublish
Résumé
Early recognition of anaphylaxis is critical to early treatment and often occurs in the first aid setting. However, the ability of first aid providers to recognize anaphylaxis is unknown. We sought to examine the evidence regarding first aid providers' ability to recognize anaphylaxis. Our scoping review was performed as part of the International Liaison Committee on Resuscitation (ILCOR) continuous evidence evaluation processes to update the 2020 ILCOR Consensus on Science with Treatment Recommendations. We searched Medline, Embase, Cochrane, and the gray literature from 2010 to September 2022. The population included adults and children experiencing anaphylaxis with a description of any specific symptom to a first aid provider. Recognition of anaphylaxis was the primary outcome. Two investigators (DM and PC) reviewed abstracts and extracted and assessed the data. Discrepancies between the reviewers were resolved by discussion and consensus with the ILCOR First Aid Task Force. Out of 957 hits, 17 studies met inclusion criteria: one review and meta-analysis, two experimental studies, and 14 observational studies. We did not identify any studies that directly addressed our PICOST (Population, Intervention, Control, Outcomes, Study Design, and Timeframe) as none were performed in the first aid setting. Articles included individuals who may be first aid providers as patients and parents (n=5), teachers, students or school staff (n=8), caregivers and patients (n= 2) or nannies (n=1). All included studies were conducted in high-income countries. Our scoping review found that signs and symptoms of anaphylaxis were not specific and did not allow for easy identification by the first aid provider. Studies focused on education (n=10) and protocols (n=2) and found that both could have a positive impact on anaphylaxis recognition and management. While we did not identify any clinical studies that directly addressed the ability of first aid providers to identify anaphylaxis, future studies examining education methods and action plans may help improve the identification of anaphylaxis by first aid providers.
Identifiants
pubmed: 37554608
doi: 10.7759/cureus.41547
pmc: PMC10404915
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e41547Informations de copyright
Copyright © 2023, Meyran et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Allergy Clin Immunol Pract. 2019 Feb;7(2):693-695
pubmed: 30292923
World Allergy Organ J. 2008 Jul;1(7 Suppl):S18-26
pubmed: 23282530
J Sch Nurs. 2004 Oct;20(5):279-84
pubmed: 15469378
Pediatr Allergy Immunol. 2020 May;31(4):380-387
pubmed: 31943386
Eur J Pediatr. 2018 Apr;177(4):575-581
pubmed: 29383436
Allergy Rhinol (Providence). 2019 Jun 20;10:2152656719856324
pubmed: 31258953
Am Fam Physician. 2020 Sep 15;102(6):355-362
pubmed: 32931210
Foods. 2021 Sep 03;10(9):
pubmed: 34574193
J Asthma Allergy. 2018 Jun 20;11:143-151
pubmed: 29950873
Allergy. 2015 Feb;70(2):227-35
pubmed: 25407693
Pediatr Allergy Immunol. 2014 Nov;25(7):644-50
pubmed: 25263184
World Allergy Organ J. 2019 Oct 31;12(10):100066
pubmed: 31719946
Allergol Immunopathol (Madr). 2019 Jan - Feb;47(1):60-63
pubmed: 30193885
Telemed J E Health. 2019 Apr;25(4):319-325
pubmed: 29969372
Circulation. 2010 Oct 19;122(16 Suppl 2):S582-605
pubmed: 20956261
J Allergy Clin Immunol Pract. 2020 Apr;8(4):1169-1176
pubmed: 31786255
Allergol Immunopathol (Madr). 2020 Jul - Aug;48(4):384-389
pubmed: 32061426
J Emerg Med. 2004 Nov;27(4):371-7
pubmed: 15498618
Allergol Immunopathol (Madr). 2020 Jan - Feb;48(1):3-7
pubmed: 31611040
Prehosp Emerg Care. 2011 Jan-Mar;15(1):61-6
pubmed: 20954971
J Allergy Clin Immunol. 2014 Feb;133(2):461-7
pubmed: 24144575
Circulation. 2020 Oct 20;142(16_suppl_1):S284-S334
pubmed: 33084394
J Allergy Clin Immunol Pract. 2015 Jan-Feb;3(1):63-7
pubmed: 25577620
BMJ Open Qual. 2022 Sep;11(3):
pubmed: 36150740
Ann Allergy Asthma Immunol. 2021 Feb;126(2):175-179.e3
pubmed: 32950683
Postgrad Med J. 2015 Jan;91(1071):3-7
pubmed: 25573132
J Allergy Clin Immunol Pract. 2021 Jun;9(6):2321-2333
pubmed: 33549844
Ann Allergy Asthma Immunol. 2019 Jul;123(1):107-108
pubmed: 30959102
Pediatr Int. 2022 Jan;64(1):e14973
pubmed: 34459057
J Allergy Clin Immunol. 2014 Apr;133(4):1075-83
pubmed: 24332862
Patient Educ Couns. 2020 Jan;103(1):227-233
pubmed: 31383563