10-13 July 2023 Liverpool
PO-549 | A young girl in distress... | Rummana Khan .. | .. | 4 Case Study.. | - - |
PO-550 | A Digital Solution To Improve Safety of .. | Ashma Mohamed .. | A.Marshall , A. Smith , S. En.. | 3 Quality Improvement.. | - - |
PO-551 | ACUTE PSYCHOSIS IN HASHIMOTOS THYROIDITI.. | Suraju Adeyemo .. | John Erfani .. | 4 Case Study.. | - - |
PO-553 | Psychotropic Medication in Pregnancy An.. | Prakriti Pokharel .. | Dr Ana Ramos, Dr Ramya Giridha.. | 4 Case Study.. | - - |
PO-554 | Improving Access to National Screening P.. | Robyn Canham .. | Morven Baker.. | 3 Quality Improvement.. | - - |
PO-555 | physical health checks on admission and.. | Shumaila Asmat .. | Elizabeth Vogel (Psychiatry F.. | 6 Audit.. | - - |
PO-556 | The role of a specialist community rehab.. | Jonathon Whyler .. | Darleen Chamles, Amrith Shetty.. | 5 Service Evaluation.. | - - |
PO-558 | Audit on Baseline Physical and Metabolic.. | Sadia Tabassum Javaid .. | Dr Lubna Latif.. | 6 Audit.. | - - |
PO-561 | Alcoholic hallucinosis and neuro-imaging.. | Camelia Yousefpour .. | Dr Rajesh Alex Dr Shweta Mitta.. | 4 Case Study.. | - - |
PO-565 | An audit of antipsychotic prescribing in.. | Amir Palermo .. | Claire Dibben.. | 6 Audit.. | - - |
PO-566 | Analysis of the caseloads of a city-wide.. | Tarif Kapadi .. | .. | 5 Service Evaluation.. | - - |
PO-569 | Physical Health Monitoring in Patients E.. | Camelia Yousefpour .. | Dr Rajesh Alex.. | 6 Audit.. | - - |
PO-570 | Enhancing medical simulation training by.. | Amit Pancha .. | Dr John SterlingAmy Enticknap.. | 1 Education and Training.. | - - |
PO-571 | Audit of On-Call Assessments (Acute and .. | Sadia Tabassum Javaid .. | Dr D. Watts Consultant Psychia.. | 6 Audit.. | - - |
PO-572 | Emotional Lability secondary to Androgen.. | Mary Keenan .. | Dr Atiqa Rafiq.. | 4 Case Study.. | - - |
PO-574 | Antipsychotic Dose Reduction for patient.. | Timothy Cherian James .. | Uttara Mandalu.mandal@nhs.net.. | 6 Audit.. | - - |
PO-576 | Suicidality in the absence of self-harm:.. | Nick Newton .. | Dr William Lee.. | 5 Service Evaluation.. | - - |
PO-578 | Integrating cultural awareness to improv.. | Sarah Olotu .. | .. | 2 Research.. | - - |
PO-580 | Clinical Re-Audit of the Interface betwe.. | Michel Hakeem .. | .. | 6 Audit.. | - - |
PO-583 | Experience and Wellbeing of Trainees in .. | Elena Titova-Chaudhry .. | B.Rajkumar, K.Huntington, S. D.. | 1 Education and Training.. | - - |
Thunderstorm-related asthma in patients sensitised to olea europaea pollen: twenty emergency department visits for asthmatic symptoms in one single day Losappio, Laura1; Heffler, Enrico2; Falco, Antonio1; Contento, Francesco1; Cannito, Cosimo1; Rolla, Giovanni2 1"Dimiccoli" Hospital, Emergency Department, Barletta, Italy; 2University of Torino - AO Mauriziano "Umberto I", Allergy and Clinical Immunology, Torino, Italy
Background: Associations between thunderstorm and asthma morbidity have been reported in several countries. Common to all epidemics of thunderstorm-related asthma is a significant increase in atmospheric allergen load during and immediately after a thunderstorm. Sensitization to Alternaria species or to grass and parietaria pollens has been suggested to play a key role in thunderstorm-related asthma. The only reported event of thunderstorm-related asthma in Mediterranean area was attributed to sensitization to parietaria pollen.
Method: here we describe a series of 20 patients who presented to Emergency Department in Barletta (94,000 inhabitants), Puglia (Italy) for sudden and severe asthmatic symptoms between May 27th and 28th 2010 (from15:36 to 5:02), immediately after a violent thunderstorm which occurred following a very hot morning (mean temperature: 29°C). All the patients have been subsequently visited by an allergist and underwent allergological work-up which included skin prick tests and a careful clinical history. Local pollen counts were available.
Result: Between May 10th and June 10th 2010, 86 Emergency Department asthma visits were recorded, 20 of them during the study day. Patients' mean age was 44.25 +/- 18.5 years (range: 9-81), 8/20 females, 2 smokers, 16 with a previous history of known respiratory allergy. Only two patients regularly took anti-asthma drugs. All 20 patients were sensitized to Olea europaea pollen, 7 of whom were monosensitized. Ten patients were sensitized to grass, 7 to parietaria, 5 to compositae, 5 to cypress, 5 to house dust mites, 3 to dog and 1 to cat danders. No patient was sensitized to Alternaria. Mean pollen count was 17 granules/m3 for Olea europaea, 6 granules/m3 for grass pollen.
Conclusion: This is, in our knowledge, the second epidemic of thunderstorm related asthma described in Mediterranean area and the first one in which sensitization to Olea europaea played a key-role. In conclusion, our report indicates that thunderstorm asthma may involve different allergens (not only fungal spores and grass or parietaria pollen) in different geographic areas, depending on the seasonality of thunderstorms and allergenic pollen.