Paeds Cases · allergy-and-immunology
Food allergy OSCE — acute reaction drill and early-introduction prevention counselling
Observed structured encounter testing emergency anaphylaxis management, the written-action-plan ladder, and counselling a high-risk infant's family on early allergen introduction.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is an acute food-induced anaphylaxis drill. Station B is a counselling station with the parent of a four-month-old with severe eczema asking about preventing food allergy.
Station objectives
- Manage a food-induced anaphylaxis drill with adrenaline-first reasoning. [14]
- Build the written-action-plan and autoinjector ladder for discharge. [6]
- Counsel a high-risk infant's family on early allergen introduction, using the LEAP evidence. [1] [4]
References5ShowHide
- [1]Du Toit G Randomized trial of peanut consumption in infants at risk for peanut allergy. N Engl J Med, 2015.PMID 25705822
- [4]Togias A Addendum guidelines for the prevention of peanut allergy in the United States: Report of the NIAID-sponsored expert panel. J Allergy Clin Immunol, 2017.PMID 28065278
- [6]Sicherer SH Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol, 2018.PMID 29157945
- [13]Halken S EAACI guideline: Preventing the development of food allergy in infants and young children (2020 update). Pediatr Allergy Immunol, 2021.PMID 33710678
- [14]Simons FE World Allergy Organization Anaphylaxis Guidelines: 2013 update of the evidence base. Int Arch Allergy Immunol, 2013.PMID 24008815