b'Heart ConditionsChapter hapterSIGNS OF ANAPHYLAXIS (SEVERE ALLERGIC REACTIONS) F I R S T A I D P L A N F O Rwww.allergy.org.au Ana ph y l a xi sDifficult or noisy breathing Swelling of tongueFor use with adrenaline (epinephrine) injectors - refer to the device label for instructionsTranslated versions of this document are on the ASCIA website www.allergy.org.au/anaphylaxis#ta5MILD TO MODERATE ALLERGIC REACTIONS Swelling or tightness in throat Wheeze or persistent coughSIGNS O SIG TE ALLERLGIC RERGIC REACTIOEACTIONSNS ACTIONDERA NSSIGNS OF MILD TF MILD TO MOO MODERATE ALSIGNS OF MILD TO MODERATE ALLERGIC REACTIONS For insect allergy flick out sting if visible For tick allergy seek medical help or freeze tick and let it drop offDifficulty talkin yes Persistor collaent dizzinpse ess ellinor hoarse voicegHives or wSwelling of lips,Hives or weltsStay with person, call for help and locate adrenaline injectorSwellinSwg of lips, fa Hives or weltseltsg of lips, face, ece, eyesSwelling of lips, face, eyes Hives or weltsface eyesPhone family/emergency contactMild to moderate allergic reactions (such as hives or swelling) mayTinglinTing mouth in, vomiting ggling mouthPale and floppy (young children) Abdominominal pain pain,not always occur before severe allergic reactions (anaphylaxis)Tingling mouth Abdominal s ofgAbdse a , v in, vomitinAbdomin inre sign, vomitinal paal pa s of Tingling mouth Abd(theomin(the(theal pare signse ase a or omitins of garein re signvomiting (these gy)nyla ylaorxis fsect alleranapha(theaphxis fse a xis for ins of sect allergy)ylare signinsect allergy)anaphanylaaphxis for insect allergy)signs of anaphylaxisfor insect alllergy)ANAPHYLAXIS (SEVERE ALLERGIC REACTIONS)WATCH FOR ANY ONE OF ACTIONTHE FOLLOWING SIGNS SIGNS O F ANAPHYLAXIS (SEVERE ALLERE ALLERGIERC REAGIC REACTIONS)CTIONS)SIGNS OF ANAPHYLAXIS (SEVSIGNS O F ANAPHYLAXIS (SEVERE ALLERE ALLERGIERC REAGIC REACTIONS)CTIONS) 1L AY PERSON FLAT - do NOT allow them to stand or walkSIGNS OF ANAPHYLAXIS (SEVSIGNS O F ANAPHYLAXIS (SEVERE ALLERE ALLERGIERC REAGIC REACTIONS)CTIONS) I f unconscious or pregnant, place in recovery position - on left side if pregnantSIGNS OF ANAPHYLAXIS (SEVSIGNS O F ANAPHYLAXIS (SEVERE ALLERE ALLERGIERC REAGIC REACTIONS)CTIONS) Ifbreathing is difficult allow them to sit with legs outstretchedSIGNS OF ANAPHYLAXIS (SEVHold young children flat, not uprightDifficult ornoisy br g SwellinSwg of telling of tongueDifficult or noisy breathineagthin ongueDifficult or noisySwelling of tongueDifficult or noisy br noisy breathineagthing SwellinSwg of telling of tonguonegueDifficult orbreathingDifficult or SwellinSwg of telling of tonguonegueDifficult or noisy br noisy breathineagthingDifficult or SwellinSwg of telling of tonguonegueDifficult or noisy br noisy breathineagthing2GIVE ADRENALINE INJECTOR as shown on the device labelSwellinSwg or tightness in oat Wheeze orelling or tightness in throa thrt Wheeze or persist perensistt coughent coughSwellinSwg or tightness in throa thrtoat Wheeze or persist perensistt coughent coughelling or tightness in Wheeze orSwelling orWheeze ortightness in throat oat Wheeze orcoughSwellinSwg or tightness in persistent ent coughelling or tightness in throa thrt Wheeze or persist perensistt coughSwellinSwg or tightness in oat Wheeze orelling or tightness in throa thrt Wheeze or persist perensistt coughent cough3Phone ambulance - 000 (AU) or 111 (NZ) pset dizzinpseor hoaor hoarse voicerse vg oice or collaDifficulty talkin Persistor colla ess ess Difficulty talkingPerensistt dizzinenDifficulty talkin Perensistt dizzinen ess ess4Phone family/emergency contactDiffse viculty talkin Persistor collapset dizzinpseor hoaor hoar rse vg oicegor collaoiceDifficulty rtalking orPersistent dizziness 5F urther adrenaline may be given if no response after 5 minutesDifficulty talkinggPersistor colla en ess ess Difficulty talkin Perensistt dizzinenDifficulty talkin PersistPerensistt dizzinor collapset dizzinpse ess or hoa fse vrse vg oicegess or hoaoiceDificulty talkin pset dizzinpse 5:00hoarse voice or collaor hoaor hoarse voicerse voice oror colla 6 Transfer person to hospital for at least 4 hours of observationcollapsePale aPanle ad floppnd fy (yloppouny (yg counhildrg cenhildr) en) AbdominAbdominal paal pain, vomitinin, vomiting gPale aPanle ad floppnd fy (yloppouny (yg counhildrg cenhildr) en) anAbd n se ase are signs of s ofg(there signapha(theominomin or omiting gy)ylaxis f , v in , vomitinAbd ylaorxis f inal painsect allergy)aph al pa insect aller(these a(these are signs of s of aphaomin ylaorre sign insect allergy)Pale aPanle ad floppnd fy (yloppouny (yg counhildrg cenhildr) en) anAbd n Abdomin , v in , vomitingylaxis f oromitingaph al paxis f inal painsect allergy)Pale ad flopploppoun ) en) Abd Abdominal pain,IF IN DOUBT GIVE ADRENALINE INJECTORPalend fy (yfloppy (the al paal pa s ofvomitingPanle a and y (yg counhildrg cenhildr omin re sign in,s ofgy)se a vomitinAbdse a(theominin, re sign ganaphanylaaphxis fylaorxis f insect allerorre sign in s of s of sect allergy)anapha(thenylaaphxis fse a(theylaorre signxis fse a insect alleror insect allergy) gy)(young children) vomiting (these areCommence CPR at any time if person is unresponsive and notsigns of anaphylaxis breathing normallyfor insect alllergy)Adrenaline injectors are given as follows: 150 mcg for children 7.5-20kg ALWAYS give adrenaline injector FIRST, if someone has SEVERE AND SUDDEN300 mcg for children over 20kg and adults BREATHING DIFFICULTY (including wheeze, persistent cough or hoarse voice), 300 mcg or 500 mcg for children and adultseven if there are no skin symptoms. THEN SEEK MEDICAL HELP.over 50kgNote: If adrenaline is accidentally injected (e.g. into a thumb) phone your local poisons information centre. Continue to follow this first aid plan for the person with the allergic reaction. ASCIA 2021 This document has been developed for use as a poster, or to be stored with general use adrenaline injectors.Medical Emergencies 189'