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Enhanced Surveillance for Cases of Anaphylaxis requiring emergency intervention Following A/H1N1 Vaccination This form should be completed by the public health staff most familiar with the event reported

How to fill out anaphylaxis requiring emergency intervention

How to Recognize Anaphylaxis Requiring Emergency Intervention:

1. Look out for symptoms such as difficulty breathing, tightness in the throat or chest, wheezing, coughing, or a sense of impending doom.
2. Monitor for signs of a severe allergic reaction, including hives, swelling of the face, lips, tongue, or throat, lightheadedness, rapid pulse, or a drop in blood pressure.
3. Notice if the person is experiencing gastrointestinal symptoms such as nausea, vomiting, abdominal pain, or diarrhea.
4. Observe if the individual is manifesting symptoms of anaphylaxis following exposure to an allergen, such as a specific food, insect sting, medication, or latex.

Who Requires Anaphylaxis Requiring Emergency Intervention:

1. People with known severe allergies who have experienced anaphylaxis in the past.
2. Individuals with a history of anaphylaxis who have been prescribed epinephrine auto-injectors.
3. Those who have previously required emergency medical attention for an allergic reaction.
4. Individuals with coexisting conditions, such as asthma, that can increase the severity of an anaphylactic reaction.
5. Anyone experiencing symptoms of anaphylaxis, regardless of their allergy history, should seek immediate medical attention.

It is crucial to remember that anaphylaxis is a life-threatening emergency, and prompt action is essential. If you believe someone is experiencing anaphylaxis, call emergency services immediately, administer an epinephrine auto-injector if available, and stay with the person until medical professionals arrive.

For pdfFiller’s FAQs

What is anaphylaxis requiring emergency intervention?

Anaphylaxis requiring emergency intervention is a severe, potentially life-threatening allergic reaction that requires immediate treatment.

Who is required to file anaphylaxis requiring emergency intervention?

Healthcare professionals who encounter cases of anaphylaxis requiring emergency intervention are required to file a report.

How to fill out anaphylaxis requiring emergency intervention?

The report for anaphylaxis requiring emergency intervention should include details of the allergic reaction, treatment given, and patient information.

What is the purpose of anaphylaxis requiring emergency intervention?

The purpose of reporting anaphylaxis requiring emergency intervention is to track and monitor severe allergic reactions for public health and safety.

What information must be reported on anaphylaxis requiring emergency intervention?

Information such as the date and time of the allergic reaction, symptoms experienced, treatment administered, and patient demographics must be reported.

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