Treatment of Anaphylaxis in Children

Anaphylaxis is a rapid, severe allergic reaction that can affect breathing, circulation, skin and the gut. A child may develop wheezing, throat or tongue swelling, hoarse speech, widespread hives, repeated vomiting, dizziness or collapse. It can happen after food, medicine, an insect sting or another trigger, and skin symptoms may be absent.

Use the child’s adrenaline auto-injector into the outer mid-thigh as soon as anaphylaxis is suspected, following its instructions. Call emergency services, state that the child may have anaphylaxis, and keep the child lying down with legs raised if comfortable. If breathing is difficult, allow a supported sitting position. Do not let the child stand or walk. Use a second injector if trained and symptoms continue while help is coming.

Every suspected anaphylactic reaction needs emergency assessment, even if the child improves after adrenaline. Symptoms can return, so monitoring and further treatment may be needed. Do not rely on an antihistamine alone for breathing or circulation symptoms. After recovery, arrange allergy review to identify triggers and create an action plan for school and carers.

Which injector strength and number should my child carry? Can you demonstrate its use? What triggers should we avoid, and what should teachers, relatives and babysitters do if symptoms start?