2 - 4 November, Barcelona, Spain
P-284 | Comparison of different plunger composit.. | Ulf Lorenzen .. | Marius Nann; Patrick Wetzel; S.. | Paediatric resuscitation.. | - - |
P-285 | Influence of aortal occlusion during non.. | Randi Manegold .. | Philip Scheene, Fadi Al Rashid.. | Advanced Life Support (including manual .. | - - |
P-286 | Longitudinal variations of prolonged gri.. | Nina Carlsson .. | Anette Alvariza, Anders Bremer.. | Post resuscitation care (including progn.. | - - |
P-287 | Association of lactate and lactate clear.. | Emilie Gregers .. | .. | Advanced Life Support (including manual .. | - - |
P-288 | Initial rhythm is not associated with se.. | Kristofer restedt .. | .. | Post resuscitation care (including progn.. | - - |
P-289 | Diagnostic accuracy of prehospital ST-el.. | Samar Ismail Mahmoud Ihtoub .. | Ahmad Alrawashdeh.. | Acute Coronary Syndromes.. | - - |
P-291 | Systematic search and assessment of func.. | Nele Grofeld .. | .. | New technology.. | - - |
P-292 | The referral pattern and clinical presen.. | Julie Holst Gudichsen .. | Emil Aggerholm Bkdal, Frederik.. | Education and Implementation (including .. | - - |
P-294 | Combination of prehospital hypotension a.. | Alessandro Fasolino .. | A. Bagliani2,R. Primi3,F. R. G.. | Post resuscitation care (including progn.. | - - |
P-295 | The effects on OHCA during COVID-19 pand.. | Jozsef Betlehem .. | Anita Farkas, Balint Banfai, A.. | Epidemiology and outcomes.. | - - |
P-296 | Quality of chest compressions in school .. | Cristina Jorge-Soto .. | SANTIAGO. MARTÍNEZ-ISASI, MARI.. | Education and Implementation (including .. | - - |
P-297 | Views and Motivation of ERC-Life Support.. | Vlasios Karageorgos .. | Vlasios Karageorgos, Anastasia.. | Education and Implementation (including .. | - - |
P-298 | Change of Advanced Life Support Course P.. | Onur Kumcu .. | Gönül Tezcan Kele&351;, &350;u.. | Education and Implementation (including .. | - - |
P-299 | Impact of the COVID-19 pandemic the syst.. | Patryk Rzonca .. | Marcin Podgórski, Ewa Rzo&324;.. | Epidemiology and outcomes.. | - - |
P-300 | Who does research in resuscitation scien.. | Carmen-Diana Cimpoesu .. | .. | Epidemiology and outcomes.. | - - |
P-301 | Infant out-of-hospital cardiac arrest in.. | Ewa Rzonca .. | .. | Paediatric resuscitation.. | - - |
P-302 | COVID-19 pandemic and out-of-hospital ca.. | Adam Pal-Jakab .. | Ádám Pál-Jakab, Boldizsár Kiss.. | Epidemiology and outcomes.. | - - |
P-304 | The impact of the SARS-CoV-2 pandemic on.. | Alexa Fekete-Gyor .. | Anna Seckington, Boldizsar Kis.. | Epidemiology and outcomes.. | - - |
P-305 | Sports-related sudden death in general p.. | Youcef Azeli .. | Silvia Solŕ-Muńoz, Gonzalo Gra.. | Epidemiology and outcomes.. | - - |
P-306 | The effect of simulation-based Crew Reso.. | Lucas Pflanzl-Knizacek .. | .. | 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.