2 - 4 November, Barcelona, Spain
P-164 | Ultrasound-guided vascular access educat.. | Albina Gokoeva .. | .. | Education and Implementation (including .. | - - |
P-166 | Right Ventricular Pressure during Cardio.. | Konstantinos Fortounis .. | .. | Post resuscitation care (including progn.. | - - |
P-167 | The association between defibrillation u.. | Mette Qvortrup .. | Carsten Meilandt, Bo Lfgren, M.. | Advanced Life Support (including manual .. | - - |
P-169 | A Retrospective Study on Machine Learnin.. | Jonathan Wenstrup .. | Jonathan Wenstrup, Jakob D. Ha.. | New technology.. | - - |
P-171 | Sport-related Sudden Cardiac Death (SrSC.. | Arianna Di Rocco .. | .. | Epidemiology and outcomes.. | - - |
P-172 | The Impact of Varying Ventilation Rate o.. | Mikel Leturiondo .. | JJ Gutiérrez, K Redondo, .. | Advanced Life Support (including manual .. | - - |
P-173 | School Saves Lives: A gradual age-approp.. | Mieke Melis .. | Alexis RondeauMd. PhD. Pierre .. | Education and Implementation (including .. | - - |
P-175 | Basic life support training with augment.. | Silvia Aranda-García .. | Silvia Aranda-García, Martín O.. | Education and Implementation (including .. | - - |
P-176 | Identikit of Sport-related Sudden Cardia.. | Arianna Di Rocco .. | .. | Epidemiology and outcomes.. | - - |
P-177 | Is teleassistance with smart glasses bet.. | Silvia Aranda-García .. | Silvia Aranda-García, Jaime Ba.. | Resuscitation Systems (including dispatc.. | - - |
P-178 | Prehospital release of patients followin.. | Bjarke Kjr Hansen .. | Bjarke Kjr Hansen, Simon Kondr.. | Education and Implementation (including .. | - - |
P-179 | Feasible distance between OHCA and AED l.. | Remy Stieglis .. | .. | Resuscitation Systems (including dispatc.. | - - |
P-180 | How prehospital emergency personnel expe.. | Lotte Huniche .. | Lotte Huniche, Sren Mikkelsen,.. | Education and Implementation (including .. | - - |
P-181 | RRT and EWS utility in the reduction of .. | Marc Morales Codina .. | .. | Rapid response systems and prevention of.. | - - |
P-182 | Assessment of ejection fraction and area.. | Youcef Azeli .. | J. Moradicheghamahi, J. Herrer.. | New technology.. | - - |
P-183 | The Circuit: Building a national AED net.. | Edward Moore .. | Judy OSullivan, Simon Dunn, He.. | Basic Life Support and AED.. | - - |
P-184 | Defining the appropriate age for teachin.. | Dimitra Dionysia Palla .. | A. BOULETIS, K. CHATZIDIMITRIO.. | Basic Life Support and AED.. | - - |
P-185 | Incidence, causes and warning symptoms o.. | Youcef Azeli .. | Eneko Barbería, Inés Landín, S.. | Epidemiology and outcomes.. | - - |
P-186 | Mitragyna speciosa (Kratom) poisoning: a.. | David Peran .. | M. STERN, P. CERNOHORSKY, R. S.. | Special circumstances (includes trauma, .. | - - |
P-187 | Ventricular fibrillation and cardiopulmo.. | Oana Stoia .. | Minodora Teodoru, Olga Cerlat,.. | Acute Coronary Syndromes.. | - - |
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.