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Anaphylaxis is a medical emergency. It can be very serious if not treated quickly.

If someone has symptoms of anaphylaxis, you should:

1. Use an adrenaline auto-injector if the person has one – but make sure you know how to use it correctly first.

2. Call 999 for an ambulance immediately (even if they start to feel better) – mention that you think the person has anaphylaxis.

3. Remove any trigger if possible – for example, carefully remove any wasp or bee sting stuck in the skin.

4. Lie the person down flat with their legs raised – unless they're unconscious, pregnant or having breathing difficulties.

5. Give another injection after 5-15 minutes if the symptoms don't improve and a second auto-injector is available

6. If you're having an anaphylactic reaction, you can follow these steps yourself if you feel able to.

Read about how to treat anaphylaxis for more advice about using auto-injectors and correct positioning.

• Foods such as peanuts, tree nuts, shellfish, cows milk and eggs however a number of other foods can cause anaphylaxis

• Insect venom such as wasp and bee stings

• Medicines (e.g. antibiotics, aspirin, chlorhexidine, anaesthetic drugs)

• Latex (e.g. ballons, gloves, condoms)

Anaphylaxis usually develops suddenly and gets worse very quickly.

The symptoms include:

• Feeling lightheaded or faint

• Breathing difficulties – such as fast, shallow breathing

• Wheezing

• A fast heartbeat

• Clammy skin

• Confusion and anxiety

• Collapsing or losing consciousness

• A feeling of impending doom

There may also be other allergy symptoms, including an itchy, raised rash (hives), feeling or being sick, swelling (angioedema), or stomach pain.

The salbutamol inhaler and adrenaline auto-injector should be available in close proximity to these outside areas, where they can be immediately accessed by the pupil themselves or the member of staff in charge of the child. This process should be covered by medicine management in school policy.

This is where whole school allergy awareness groups formulating robust policy and procedures take into consideration all aspects of school life. An inhaler and adrenaline auto-injector is normally carried by senior school children for whom they are prescribed or by the accompanying adult for younger children.

Parents are responsible for supplying the school staff and caterers with required information about their child's allergy. The school should ensure that the caterers and other staff have sufficient training in food allergy management. There is now legislation around food labelling of 14 allergens.

A complete nut free school is an artificial environment that would not be the same as the 'real world'. We believe that a 'whole school awareness of Allergy' is a much better approach, as it will make teachers, pupils and all other staff aware of what allergy is, the importance of avoiding the child/young persons triggers, the signs & symptoms, how to deal with allergic reactions and facilitate 'duty of care' procedures to minimise risk.

Avoidance of the child's allergic trigger is key, but there are rarely any absolute certainties in life so by having allergy awareness, clear policy and procedures that recognise the allergic child and a clear management pathway of what to do if that child has an allergic reaction, risk can be minimised and situations can be promptly dealt with in the most appropriate way.

In the world outside school people with allergy are not isolated. Education in safe management should enable pupils with allergy to be integrated not isolated.

The required policies, protocols and procedures are all included in the Schools Allergy Awareness programme resource pack, which schools can sign up to access here on Allergy UK's website.

Much depends on the individual child and the school. Some younger children are trained to carry their adrenaline auto-injectors, but generally by secondary school children should be carrying their own.