2 - 4 November, Barcelona, Spain
P-307 | Implementation of an extracorporeal resu.. | Lis Frykler Abazi .. | Andreas Liliequist, Felix Böhm.. | Advanced Life Support (including manual .. | - - |
P-308 | Post-ROsc ecG pREdicts Survival after ou.. | Clara Lopiano .. | .. | Post resuscitation care (including progn.. | - - |
P-309 | Argon attenuates myocardial injury by mo.. | Marianna Cerrato .. | .. | Post resuscitation care (including progn.. | - - |
P-310 | Barriers to Dispatcher-guided Public Acc.. | Chong Kah Meng .. | .. | Resuscitation Systems (including dispatc.. | - - |
P-311 | The ethical challenges of smartwatch-bas.. | Marijn Eversdijk .. | Marijn Eversdijk, Willem Kop, .. | New technology.. | - - |
P-312 | Implementation of a Cardio-protected Hos.. | Roser Creixell Busquet .. | Roser Creixell Busquet, Ivan R.. | Education and Implementation (including .. | - - |
P-313 | Development of an instrument for self-re.. | Kristofer restedt .. | K. LARSSON, C. HJELM, J. ISRAE.. | Post resuscitation care (including progn.. | - - |
P-314 | Comparison between 2 teaching strategies.. | Santiago Martinez isasi .. | Aida Carballo-Fazanes, Cristia.. | Education and Implementation (including .. | - - |
P-315 | Prehospital Blood Gas Analyses in Acute .. | Louise Walther .. | Annmarie Touborg LassenChristi.. | Epidemiology and outcomes.. | - - |
P-316 | Developing a tailored lifesaving skills .. | Jorge Gumucio .. | .. | Education and Implementation (including .. | - - |
P-318 | Self-evaluation of ALS training in Nurse.. | Alberto Cucino .. | .. | Education and Implementation (including .. | - - |
P-319 | Resuscitation care training in low resou.. | Gabriella Arlotta .. | Gabriella Arlotta, Samantha Di.. | Education and Implementation (including .. | - - |
P-320 | Effect of training Emergency medical tec.. | Vasiliki Dimitropoulou Nteimente .. | Chris Verras,Stella Charitidou.. | Education and Implementation (including .. | - - |
P-322 | Using a serious smartphone game to impro.. | Nino Fijacko .. | .. | Education and Implementation (including .. | - - |
P-323 | BLS implementation in Kazakhstan of the .. | Tomasz Zalewski .. | .. | Education and Implementation (including .. | - - |
P-324 | Adherence to the ABCDE approach in clini.. | Marjolein Linders .. | L. Bruinink, J. Lagendijk, E. .. | Advanced Life Support (including manual .. | - - |
P-325 | The Impact of Recent Simulation Training.. | Johannes Wittig .. | Bo Lfgren, Rasmus P. Nielsen, .. | Education and Implementation (including .. | - - |
P-326 | Educational approach on autonomic dysfun.. | Naomi Kondo Nakagawa .. | Mair V, Matos LDNJ, Pereira-Fi.. | Education and Implementation (including .. | - - |
P-327 | The undergraduate perceptions on cardiop.. | Edson Luis .. | P. AIKAWA, I.I.K. UMEDA, A.P. .. | Basic Life Support and AED.. | - - |
P-328 | Meat, sweets, and fruit are the most com.. | Nino Fijacko .. | .. | Education and Implementation (including .. | - - |
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.