Michael Marcus, MD, Director of Pediatric Allergy and Pulmonary in Maimonides Medical Center . Fellowship:Childrens Hospital of Philadelphia Castle Connolly Top Doctor.
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The Importance of Being Prepared for Severe Food Allergies Male: If your kid has severe allergy and you were told by the doctor they have an adrenaline like device for example will be EpiPen we should have it really available at all times. And also if you can course to CPR because sometimes you can get that bad of reactions is that true? Male2: It is true peanut reaction; peanut allergy of all the food allergies does seem the most severe and does lead in some cases to potentially life threatening reactions. Both in the breathing and in the patient’s heart rate and blood pressure, because of this epinephrine is certainly an important medication to give quickly when the reaction begins. But sometimes the reaction happens so fast that a patient doesn’t even have time to give them the epi or the epi has not a chance to work. And so caregivers of children who have peanut allergies certainly should have the skills to learn CPR so that if a reaction of that nature does occur, they’re equipped to take it or to use it. That being said, those types of sever reactions are extremely rare. There are certain reactions that we hear about in the newspaper and that make it to the evening news. And so I don’t want parents to be concerned that a mild reaction to peanuts in the past is going to lead to a child having a cardiac arrest. However I do think it is wise to be prepared because we never know which patient is going to develop that reaction or which exposure is going to lead to that type of severe life threatening reaction. Male1: So if you have a game plan everybody use a caretaker, if you have to utilize either EpiPen or CPR. They’re probably never going to need it. It is like the oil spill we hear in the news, if you are prepared to handle the problem, we may not even have a problem today. Is that true? Male2: It is always seems to be the case, the more prepared we are for the problem the less often we need to use those preparations but preparation is always beneficial whenever there is a risk for severe reaction. Male1: I thank you very much.

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