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Instructions for helping someone else

Severe allergy / swollen throat

What to do

  1. Tongue/throat swelling, hoarse voice, breathing difficulty or collapse after possible allergy: treat as an emergency. Do not wait for hives.
  2. Lay them down. For breathing difficulty, slowly raise upper body with legs stretched out. Pregnancy: left side. Hold a baby lying flat, not upright.
  3. Use their adrenaline autoinjector immediately as labelled. Help or administer if they cannot. Have another person call now. If alone, call immediately afterward.
  4. Keep fingers away from needle end. Child: hold leg still without changing indicated position. Used device: single dose. Do not reuse.
  5. Apply to outer mid-thigh. Follow that autoinjector’s steps and hold time. Devices differ.
  6. If not improved after 5 minutes, use a second autoinjector if available. Tell the team when each was given.
  7. Stay if safe. Watch response and breathing. Report changes to the dispatcher.
  8. If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
  9. Even if better, wait for assistance and hospital assessment. Do not walk to the ambulance.
  10. Symptoms return: tell dispatcher now. At least5minutes since first autoinjector: use second available according to their plan. Do not stand even if improved.
  11. Accidental injection into finger/hand or wrong site: report it and get immediate medical care. Used device cannot give another dose. Get another for anaphylaxis without delaying help.
  12. Other prescribed device, for example nasal: follow its label and plan, not injection steps. Child: use their prescribed product. Do not select dose from age/weight yourself.

What to avoid

  1. Do not stand or walk, even if better. Bring the medicine to the person.
  2. Do not delay needed CPR to search for an autoinjector. Do not improvise adrenaline with an ampoule or syringe.
Child or baby unresponsive and not breathing normally: child CPRAdult unresponsive and not breathing normally: CPR