R

A
T
ILC

DR
U
A&D

S CK
I
E
X
B
LA A

R
Y
D
PHI N ,

A
A
B
ANR J .
D

METHODS

2 hospital sites
St Johns Hospital, Livingston
Spire Murrayfield Hospital

All medical staf

2 week period

Simple questionnaire
9 questions

RESULTS

Total 87 respondents

40% had personal experience

79% had training on anaphylaxis

40.00%
30
35.00%

28

30.00%
25
25.00%
20
20.00%

16
14

15
15.00%
10.00%
10
5.00%

10

10

5
0.00%
Learnpro
0

Course

Simulator

AAGBI GUIDELINES - MANAGEMENT

1. Use the ABC approach
2. Remove potential causative agents
3. Call for help
4. Administer 100% Oxygen
5. Raise legs if hypotensive
6. CPR if appropriate
7. IV adrenaline (50 micrograms 0.5ml of 1:10000)

MANAGEMENT OF ANAPHYLAXIS

83% said they knew of guidelines

Only 60% could identify a guideline

Most identified basic management points

ABC
25%
Call for help
65%
Adrenaline
58%
Oxygen
11%
Remove cause
13%

30% knew to do tryptase

PRACTICAL POINTS FOR ST JOHNS

Specialist equipment
53% suggested a location for this

Should we have a dedicated box?

What should it contain?
Should it have a protocol on it?

80.5% felt they would benefit from extra training

What kind of training should be provided?