New legislation allows “spare” emergency adrenaline auto-injectors in schools

New legislation was passed in Westminster this week to allow schools in the UK to keep spare adrenaline auto-injectors (AAIs) for emergency use. AAIs deliver a potentially life-saving dose of adrenaline in the event of a severe allergic reaction (anaphylaxis). The legislation comes into effect from 1 October 2017.

A working group, made up of representatives from the Anaphylaxis Campaign, Allergy UK, the British Society for Allergy & Clinical Immunology (BSACI), the British Paediatric Allergy Immunity and Infection Group (BPAIIG), and the Royal College of Paediatrics and Child Health (RCPCH), has campaigned over the last two years for the Government to amend the Human Medicines Act to allow schools to buy AAIs from a pharmaceutical supplier, without prescription, for use in emergencies. The working group and their respective organisations have welcomed the new legislation which allows school staff to administer an emergency AAI to any child who has been assessed as being at risk of anaphylaxis.

Their campaign gained a huge groundswell of support from parents and teachers: over 1600 parents/carers and 800 teachers completed a survey in 2015 to assess backing for the campaign: over 99% of parents and 96% of teachers supported the proposal. The survey formed a crucial part of the evidence presented to the Department of Health. A public consultation conducted by the Department of Health this year also found overwhelming support for a change in the law to allow schools to hold spare AAIs, without a prescription, for use in emergencies.

A joint statement from the five organisations says:

“The rise in food allergy among young people is posing a significant risk for schools who can be faced with a life-threatening situation requiring urgent action. One in five fatal food-allergic reactions in children happen at school. Schools can now purchase the first-line treatment for anaphylaxis, without a prescription. While not compulsory, we hope many schools will take advantage of this change as part of their duty of care to those children who are at risk of anaphylaxis. This is likely to increase awareness and highlight the need for staff to be trained to recognise and treat anaphylaxis in school. The working group is now developing a website which will provide online resources to support school staff.

For a parent of a child at risk from anaphylaxis, this will provide valuable reassurance that their child can receive prompt emergency treatment while on school premises.

We are delighted that our campaign has delivered the result we hoped for.”

Adrenaline Auto-Injectors in Schools

There has been a recent announcement that schools will soon be able to hold a spare adrenaline auto-injector pen for use on children. These will be available for anyone to administer in the case of anaphylactic shock. This has been something that has been campaigned for by several organisations, including the Anaphylaxis Campaign alongside Allergy UK, The British Society for Allergy & Clinical Immunology (BSACI) and British Paediatric Allergy Immunity and Infection Group (BPAIIG).

The legislation for this is likely to be in place by October this year (2017). The way this appears to be worded is that the spare adrenaline auto-injectors will be available to administer to children, it does not mention staff being able to administer to other staff.

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Ablation (Catheter Ablation)

Ablation or catheter ablation as it is sometimes referred, is a treatment that is used to control or correct certain types of abnormally fast heart rhythms. This could be something like Atrial Fibrillation (AF) or Superior Ventricular Tachycardia (SVT).

A cardiac catheter (thin, hollow, flexible tube) is inserted in to the body via an artery in the wrist or in the groin, it is then fed around the body to the heart to where the abnormal signal is located. The medical professional will then use either radiofrequency waves (radiofrequency ablation) or freezing (cryoablation) to destroy the tissue.

This procedure can be repeated if it does not work the first time. It can take several weeks to see whether the procedure has worked or not.