Anaphylaxis — Viva Defence

Opening statement (SASPOP, delivered aloud)

“Ms Tran is a 29-year-old teacher with recurrent anaphylaxis — three episodes in 14 months, at least one severe and multi-dose, and two currently unexplained. Her main problems are: an unconfirmed trigger profile with probable idiopathic anaphylaxis; an unreliable safety net — she does not consistently carry her autoinjector; an unexamined cofactor and medication load; and the occupational and psychological consequences of unpredictable reactions in a woman responsible for a classroom. I would like to reconstruct every episode minutely, screen her for mast-cell disease, rebuild her safety net with device training and action plans for home and school, and refer her to an immunologist for definitive trigger work and consideration of prophylactic therapy.” ^{[3] [4]}