Management

• When does a caregiver or patient administer epinephrine by automatic injector to a child or to themselves who has previously experienced an anaphylactic reaction?

  Question answered by: Vivian Hernandez-Trujillo, MD Director of the Division of Allergy and Immunology
  Miami Children's Hospital;
  Assistant Clinical Professor
  Herbert Wartheim College of Medicine
  Florida International University
  Miami, Florida

  Estimated time to complete:

  15 minutes

• How helpful are allergy tests in identifying a child with a food allergy?

  Question answered by: Scott H. Sicherer, MD Chief, Division of Pediatric Allergy and Immunology
  Professor of Pediatrics
  Mount Sinai School of Medicine
  New York, New York

  Estimated time to complete:

  15 minutes

• Can an oral drug, such as diphenhydramine, be substituted for an injection of epinephrine to treat an anaphylactic episode?

  Question answered by: Phil Lieberman, MD Clinical Professor of Medicine and Pediatrics
  Departments of Internal Medicine and Pediatrics
  Divisions of Allergy and Immunology
  University of Tennessee College of Medicine
  Memphis, Tennessee

  Estimated time to complete:

  15 minutes

• What is the evidence supporting the need to supply a patient at risk for anaphylaxis two doses (rather than one) of self-injectable epinephrine?

  Question answered by: Phil Lieberman, MD Clinical Professor of Medicine and Pediatrics
  Departments of Internal Medicine and Pediatrics
  Divisions of Allergy and Immunology
  University of Tennessee College of Medicine
  Memphis, Tennessee

  Estimated time to complete:

  15 minutes

• How do clinicians decide on prescribing an autoinjector dose of 0.15 mg versus 0.3 mg for a child at risk for anaphylaxis?

  Question answered by: Scott H. Sicherer, MD Chief, Division of Pediatric Allergy and Immunology
  Professor of Pediatrics
  Mount Sinai School of Medicine
  New York, New York

  Estimated time to complete:

  15 minutes

• How do you assess anaphylaxis risks in a child with food allergy?

  Question answered by: Scott H. Sicherer, MD Chief, Division of Pediatric Allergy and Immunology
  Professor of Pediatrics
  Mount Sinai School of Medicine
  New York, New York

  Estimated time to complete:

  15 minutes

• What are the circumstances and risk factors for repeated doses of epinephrine in treating anaphylaxis?

  Question answered by: Vivian Hernandez-Trujillo, MD Director of the Division of Allergy and Immunology
  Miami Children's Hospital;
  Assistant Clinical Professor
  Herbert Wartheim College of Medicine
  Florida International University
  Miami, Florida

  Estimated time to complete:

  15 minutes

• What is the optimal duration of observation for a patient who has been treated for an anaphylactic reaction and is asymptomatic?

  Question answered by: Phil Lieberman, MD Clinical Professor of Medicine and Pediatrics
  Departments of Internal Medicine and Pediatrics
  Divisions of Allergy and Immunology
  University of Tennessee College of Medicine
  Memphis, Tennessee

  Estimated time to complete:

  15 minutes

• What are the most common cause(s) of death in patients who experience an anaphylactic reaction?

  Question answered by: Vivian Hernandez-Trujillo, MD Director of the Division of Allergy and Immunology
  Miami Children's Hospital;
  Assistant Clinical Professor
  Herbert Wartheim College of Medicine
  Florida International University
  Miami, Florida

  Estimated time to complete:

  15 minutes

• What are the most important aspects of patient and caregiver education with respect to the management and prevention of a future episode of anaphylaxis?

  Question answered by: Scott H. Sicherer, MD Chief, Division of Pediatric Allergy and Immunology
  Professor of Pediatrics
  Mount Sinai School of Medicine
  New York, New York

  Estimated time to complete:

  15 minutes