ED-13-331 KF Allergy Alert kc

How can EHR clinical decision support improve allergy documentation?
They then implemented a real-time EHR clinical decision support tool that uses picklists to rank the most likely allergic reactions to a given allergen, comprehensive tools to support real-time allergy reconciliation, and alerting systems that reduce rather than increase cognitive burden, with the overall goal of improving allergy documentation.
What are the Ed values for priority allergenic foods?
Table 1 gives ED01 to ED10 and ED15, ED20, ED25, and ED50 values from the model averaged population threshold dose distributions for the 14 priority allergenic foods. Both the EDs based on the discrete and the cumulative dose datasets are given.
Do eliciting doses elicit objective allergic symptoms?
Previously, we published selected Eliciting Dose (ED) values (i.e. ED01 and ED05 values) for 14 allergenic foods, predicted to elicit objective allergic symptoms in 1% and 5%, respectively, of the allergic population ( Remington et al. 2020 ).
What is the threshold dose distribution for allergenic foods?
Using all these achievements, we recently updated our threshold dose distribution analyses for 14 allergenic foods and published doses (and their 95% confidence intervals) that are predicted to elicit mild objective allergic symptoms in 1% (the Eliciting Dose 01 or ED01) or 5% (ED05) of the allergic population ( Remington et al. 2020 ).

Abstract

An acute allergic reaction is a rapid-onset, IgE-mediated hypersensitivity reaction. Although it is most commonly caused by food, insect stings, and medications, there are many additional causes. Symptoms can range from mild urticaria and swelling, to abdominal cramping, to respiratory collapse. Anaphylaxis and anaphylactic shock are the most sever

Case Presentations

She is in obvious respiratory distress, with stridor, wheezing, and a widespread urticarial rash. Her vital signs are stable except for mild tachycardia.The patient’s friend at the bedside is tearful, worrying that she may have accidentally given the patient food that contained peanuts.You wonder how aggressive you should be in managing this patient‘s symptoms and whether she should be given epinephrine, antihistamine, and/or corticosteroids . . . ebmedicine.net

Key References

Following are the most informative references cited in this paper, as determined by the authors. 1. * Rowe B, Gaeta T. Anaphylaxis, allergies, and angioedema. In: Tintinalli J, Stapczynski J, Ma O, et al, eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed: McGraw-Hill; 2016:74-79. (Textbook chapter) 3. * Long B, Gottlieb M. E

Allergies and Infants American Academy of Pediatrics (AAP)

UNILAB Health Reminders: Adult Allergy Triggers & Symptoms

Facts and myths about allergies from an allergist Ohio State Medical Center

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