2 - 4 November, Barcelona, Spain
P-210 | Development of mixed strategy to impleme.. | Manuel Pardo Ríos .. | J.M. LUCAS GÓMEZ, A.F. NAVARRO.. | Resuscitation Systems (including dispatc.. | - - |
P-211 | Increased age and female sex are indepen.. | David Majewski .. | .. | Epidemiology and outcomes.. | - - |
P-212 | Exercise-related OHCA in France: how doe.. | Martin Lafrance .. | .. | Basic Life Support and AED.. | - - |
P-213 | System development of Emergency Medical .. | Paula Mäki .. | Valtteri Järvenpää, Heini Huht.. | Resuscitation Systems (including dispatc.. | - - |
P-214 | Practical application of recommended ALS.. | Roman Skora .. | Miroslav KESELICA, Metod&283;j.. | Education and Implementation (including .. | - - |
P-215 | Defibrillation during OHCA, does the qua.. | Martin Lafrance .. | .. | Basic Life Support and AED.. | - - |
P-218 | Variation of Impulsiveness of Manual Che.. | Mikel Leturiondo .. | JA Urigüen M Leturiondo .. | Advanced Life Support (including manual .. | - - |
P-220 | Learning to place in Recovery Position b.. | Martín Otero Agra .. | Martín Otero-Agra, María Garcí.. | Education and Implementation (including .. | - - |
P-221 | Do medical laypersons need mobile-applic.. | Sabine Wingen .. | Niels-Benjamin Adams, Nele Gro.. | New technology.. | - - |
P-222 | Didactic material for simulation in the .. | Martín Otero Agra .. | Martín Otero-Agra, Carmen Camp.. | Education and Implementation (including .. | - - |
P-224 | Quality of current cardiopulmonary resus.. | Wolfgang A. Wetsch .. | .. | New technology.. | - - |
P-225 | Effectiveness of initial total cholester.. | Juncheol Lee .. | Jaehoon Oh, MD.,PhD.. | Post resuscitation care (including progn.. | - - |
P-226 | comparison of national early warning sco.. | Young Wook Kim .. | Young Wook Kim, Hyun Wook Ryoo.. | Epidemiology and outcomes.. | - - |
P-227 | Neurofilament Light Chain and Glial Fibr.. | Maibritt Klitholm .. | Maibritt Provstgaard Klitholm,.. | Post resuscitation care (including progn.. | - - |
P-228 | A newer method of prognosticating cardia.. | Akhil Sl .. | R Chandni .. | Advanced Life Support (including manual .. | - - |
P-230 | Need for different thresholds of neuron-.. | Youn-Jung Kim .. | Yong Hwan Kim, Chun Song Youn,.. | Post resuscitation care (including progn.. | - - |
P-231 | The Impact of Pre-Ventricular Fibrillati.. | Olibhéar McAlister .. | Ben McCartney, Adam Harvey, Dy.. | Paediatric resuscitation.. | - - |
P-233 | Coverage and validity of the Swedish Reg.. | Jennie Silverplats .. | Björn Äng bjorn.ang@regiondala.. | Epidemiology and outcomes.. | - - |
P-234 | A plan is needed to take in-hospital res.. | Jaap Mallens .. | .. | Advanced Life Support (including manual .. | - - |
P-235 | Effectiveness of video-assisted cardiopu.. | Bálint Bánfai .. | Vivien Szöll&337;si, József Be.. | Resuscitation Systems (including dispatc.. | - - |
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.