Full report overview
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If someone has a severe allergic reaction they may experience anaphylaxis, which can be fatal. Anaphylactic shock must be treated immediately with the use of an adrenaline pen, which is also called an Adrenaline Auto-Injector (AAI). As there are several brands available in the UK, it’s important to understand how the specific brand of pen you are prescribed works, as pens from different brands function differently.
Adrenaline pens are a prescription medication, so to get one you will need to receive a prescription from your GP, who will ensure your pen contains the right dose of adrenaline based on your age and weight. It is recommended to book in an annual allergy appointment with your GP to review your adrenaline pen prescription, in case the dosage needs to change.
If you have been prescribed an adrenaline pen, take it with you everywhere you go. Unlike Public Access Defibrillators, which are placed in public spaces in case of medical emergencies, in the UK it is not currently mandatory for venues to carry adrenaline pens, so it is essential to always have your own.
If you have been prescribed an adrenaline pen for an allergy, it is recommended to carry at least two with you at all times.
There are many reasons why having two pens is helpful, including:
Adrenaline pens have expiry dates, so it’s also important to have a back-up in case one pen has expired. You should regularly check the expiry date that is listed on the pen itself to ensure it is in-date, but another tell-tale sign that your pen may have expired is if the liquid inside appears murky or discoloured.
Even if you don’t have an allergy yourself, everyone should know how to use an adrenaline pen. The knowledge could help save someone’s life.
If someone is experiencing anaphylaxis and is unable to administer an adrenaline pen themselves, it is essential to stay calm and act quickly to administer the adrenaline for them.
If they aren’t already, gently lay them flat on the ground with their legs raised, for example, by placing their feet on a chair. This will help blood flow back to their heart and vital organs. If they’re struggling to breathe, they may need to be propped up, but this should be for as short a time as possible. Avoid changing their position suddenly, such as standing them up or sitting them in a chair, even if they say they’re feeling better. This could suddenly lower their blood pressure, which may stop their heart.
If you’re unsure whether a person is experiencing anaphylaxis or not, it’s best to administer adrenaline, just in case. The correct administration of an adrenaline pen could save a life during anaphylaxis, and if not needed, side effects such as raised blood pressure or heart rate, are usually mild and transient. The adrenaline should be injected into the muscle of their outer thigh. The needle is able to penetrate clothing, even thicker materials like jeans, so don’t worry about removing any of their clothes.
If their condition doesn’t begin to improve after about five minutes, or if they seem to be getting worse, administer another dose of adrenaline using their second adrenaline pen, if they carry one.
Call 999 immediately after administering an adrenaline pen. Ask for an ambulance and let them know that someone has suffered anaphylaxis (pronounced: ana-fill-axis). The ambulance may take a while to come, so stay with the person until help arrives. While waiting for the ambulance, they may need you to administer their second adrenaline pen. Encourage them to stay laying down until the ambulance team arrives, even if they say they’re feeling better.
To learn more, visit: Anaphylaxis UK
Living with severe allergies can take a huge emotional toll on those who have them, and their loved ones. In fact, 73% of people with severe allergies say it has an impact on their mental health. From eating out in restaurants to going on holiday or going to school, having an allergy can make navigating everyday life challenging. That’s why the ready2reactuk campaign strives to build a society that is safer and more accessible for those living with severe allergies, so everyone has the freedom to live their life to the full.
Managing an allergy can be emotionally draining. People with severe allergies must be on high-alert constantly, always on the lookout for allergens or checking the ingredients list of everything they eat or drink – and some allergens can be very difficult to avoid.
If someone you know has a severe allergy, the best way you can help put their mind at ease is by learning how to use an adrenaline pen. People with allergies can find it very reassuring to know that the people around them would be equipped to respond if they ever had a medical emergency.
Having a child, of any age, with severe allergies can be stressful for both the parents and the child themselves – particularly when they start school. As children get older, they will gradually begin spending more time outside of the home, so you won’t always be able to keep a watchful eye on them. Every parent wants their child to learn to live life independently, but this loss of control can be understandably anxiety-inducing.
In 2017, the law was changed: the Human Medicines (Amendment) Regulations 2017 now allows schools to obtain, without a prescription, “spare” AAI devices for use in emergencies, if they so wish. “Spare” AAIs are in addition to any AAI devices a pupil might be prescribed and bring to school. The “spare” AAI(s) can be used if the pupil’s own prescribed AAI(s) are not immediately available (for example, because they are broken, out-of-date, have misfired or been wrongly administered).
“My 9-year-old son, Osian, has several severe allergies, including allergies to peanuts, wheat and eggs. Managing his condition has become a full-time job. When we found out he had allergies, it was like a bomb was thrown into our lives – we have to think about it every day, remain constantly vigilant, and work closely with his school to keep him safe. We do our best to ensure he can live life to the full despite his condition.” - Sarah Pattison, Pontypridd, Wales, mother to a child with severe allergies
From a young age, it’s important to teach children with allergies about their condition, what to do if they begin feeling poorly, and how to use their adrenaline pen. But it’s also essential to make those around them – extended family members, friends, babysitters, and teachers – aware of the allergy and how to respond in case of a reaction.
Our survey reveals that 68% of parents with children who have severe allergies say it impacts their school attendance. That’s why it’s important to work closely with your child’s school to ensure staff are equipped to support them.
Your GP should give you an Allergy Action Plan. This is a medical document filled in by a healthcare professional containing detailed instructions about what to do in the event of anaphylaxis and how to administer the adrenaline pen. Ensure that your child’s school has an up-to-date copy of your child’s Allergy Action Plan.
Unfortunately, not every school in the UK will have an adrenaline pen onsite, so it’s important to get your child into the habit of carrying their own two pens every day. You can choose to provide school staff with an adrenaline pen yourself if they do not have one – just be aware that adrenaline pens do go out-of-date so it will need replacing if it goes unused.