Anaphylaxis

1
If you know what caused it and it's safe to, remove it (for example, a bee sting).
2
Help them use their adrenaline device, whether that is an auto-injector pen or a nasal spray. Follow the instructions on the device.
3
Call 999If not already done.
4
Monitor themIf they are not improving after 5 minutes, give a second dose with a new device. Follow the instructions on the device. If you're using an auto-injector, ideally give the second dose in the other leg.

Recognising anaphylaxis

Airway signs: tightening of throat and tongue swelling, narrowing of the airway, stridor (noisy breathing that occurs due to narrowed airway), hoarse voice.

Breathing signs: difficulty breathing, shortness of breath, wheezing.

Circulation signs: tingling/swelling of lips, eyes or face; pale, clammy skin; itching, rash and/or hives; feeling dizzy or faint; confusion and agitation.

Tummy pain, vomiting or diarrhoea.

What is anaphylaxis?

Anaphylaxis is a severe, life-threatening allergic reaction. The trigger can be eaten, breathed in, touch the skin, or be injected — like a sting.

Common triggers include foods (such as peanuts, tree nuts, milk, eggs, fish, shellfish and sesame), insect stings, and some medicines.

Positioning them

Keep them comfortable and reassure them. Lie them down. If they're having difficulty breathing, let them sit up with their legs out straight.

What to tell the ambulance

The call handler will guide you. Tell them where you are and say it's anaphylaxis.