2 - 4 November, Barcelona, Spain
P-188 | Factors associated to a low level of phy.. | Katarina Heimburg .. | Katarina Heimburg, Erik Blenno.. | Post resuscitation care (including progn.. | - - |
P-190 | Professional prehospital clinicians expe.. | Oliver Srensen .. | Louise Milling, Eva Laerkner, .. | Resuscitation Systems (including dispatc.. | - - |
P-192 | Enhancing Learning Outcomes in Emergency.. | Eva Kornemann .. | Igor Abramovich, Jakob Philipp.. | Education and Implementation (including .. | - - |
P-193 | KIDS SAVE LIVES CHAMPIONSHIP in Greece.. | Evita Sigala .. | .. | Education and Implementation (including .. | - - |
P-194 | Assessing adherence to the ABCDE approac.. | Laura Bruinink .. | Elyn Prins, Tjitske Faber, Mar.. | Education and Implementation (including .. | - - |
P-195 | Cardiopulmonary resuscitation and organ .. | Christine Biela .. | J Nath, V Mavroeidis... | Epidemiology and outcomes.. | - - |
P-196 | Is CPR training effective in big-groups .. | Marília Melli Costa .. | G.F. TAKACS , B.M. FREITAS , P.. | Basic Life Support and AED.. | - - |
P-197 | Is CPR training effective in big-groups .. | Giovana Takacs .. | G.F. TAKACS , M.M. COSTA , B.M.. | Basic Life Support and AED.. | - - |
P-198 | The association between advanced airway .. | Koshi Nakagawa .. | .. | Advanced Life Support (including manual .. | - - |
P-199 | External validation of a prognostication.. | Garam Jeong .. | .. | Post resuscitation care (including progn.. | - - |
P-200 | Nurses understanding of the necessity of.. | Chika Nishiyama .. | Chika Nishiyama, Sayaka Takeno.. | Education and Implementation (including .. | - - |
P-201 | Defining resuscitation attempt in an era.. | Stephen Ball .. | Jason Belcher, Lyndall Finn, S.. | Epidemiology and outcomes.. | - - |
P-202 | Using the power of professional football.. | Tom Madou .. | Dr. Peter Iserbyt.. | Education and Implementation (including .. | - - |
P-203 | Impact of the operation of the response .. | Jose Maria Soto Ejarque .. | Jose Maria Soto Ejarque, Marta.. | Rapid response systems and prevention of.. | - - |
P-204 | Use of Early Warning Scoring System in A.. | Pelin Karaaslan .. | H.GÜNGÖR, A.&304;NCE, C.ERDO&2.. | Rapid response systems and prevention of.. | - - |
P-205 | Bystander CPR mobile app implementation .. | Adela Cristiana Grasu .. | Cristian Grasu, Bogdan Avram, .. | Education and Implementation (including .. | - - |
P-206 | Kids Save Lives learn playing through Mi.. | Manuel Pardo Ríos .. | M. PARDO RÍOS, R. GREIF, M. MÜ.. | Education and Implementation (including .. | - - |
P-207 | Prophylactic versus clinically-driven an.. | Boldizsar Kiss .. | .. | Post resuscitation care (including progn.. | - - |
P-208 | Association between Life satisfaction, s.. | Stefan Aregger Lundh .. | Johan Israelsson, Peter Hagell.. | Post resuscitation care (including progn.. | - - |
P-209 | Evaluation of Code Blue.. | Sule Ozbilgin .. | Sule Ozbilgin, Beyza Calis, Go.. | Rapid response systems and prevention of.. | - - |
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.