Severe Peanut Allergy Reaction: Steps to Recognise and Respond

Signs that need immediate action

• Difficulty breathing, wheezing, a tight feeling in the throat, hoarse voice
• Swelling of the lips, tongue or throat
• Large hives all over the body with obvious discomfort
• Repeated vomiting, abdominal pain
• Pale face, cold sweats, dizziness, listlessness or confusion

Steps to take

First, stop eating the suspected food and call 120 (the emergency number in China) straight away, saying that a severe allergic reaction is suspected. Second, if a doctor has prescribed an adrenaline auto-injector, use it as you were trained to, and tell the emergency team the time it was used and the dose. Third, lay the person flat and raise their legs; if breathing is difficult, let them sit up partway. Do not let them stand or walk around. If they vomit, turn them on their side to prevent choking. Fourth, keep the airway clear, loosen tight clothing, and watch their breathing and level of alertness closely.

What to arrange afterwards

Even if symptoms ease, they should still be seen and observed, because the reaction can come back within a few hours. Afterwards, go over the trigger, what was done and what medicines were used with a doctor, and adjust the emergency plan if needed. Add this episode to the allergy record so that the school and carers know about it.

This article is for general information only and is not medical advice. Please follow your doctor's instructions.