2 - 4 November, Barcelona, Spain
P-428 | Readiness evaluation in simulation train.. | Annelien Malfait .. | Martine Van Puyvelde Frederic .. | Education and Implementation (including .. | - - |
P-429 | Evaluation of CPR Performance: An in vit.. | Andréa El-Khoury .. | Andréa El-Khoury, Lawrence Ler.. | Basic Life Support and AED.. | - - |
P-432 | Self-reported traumatic distress in rela.. | Camilla Dichman .. | .. | Post resuscitation care (including progn.. | - - |
P-433 | EYE LEARN : Innovative pedagogical proce.. | Jean-Michel Vasse .. | .. | Education and Implementation (including .. | - - |
P-434 | Ocean Medical AED Simulation Program: do.. | Ricardo Benedito .. | Nelson Santos, Pedro Caldeira,.. | Education and Implementation (including .. | - - |
P-436 | Clinical Utility of the Impact of Event .. | Mette Kirstine Wagner .. | Nielsen LF, Berg SK, Hassager .. | Post resuscitation care (including progn.. | - - |
P-437 | Comparative Outcomes of Hypothermic and .. | Tasuku Matsuyama .. | .. | Post resuscitation care (including progn.. | - - |
P-438 | IMPLEMENTATION OF MULTI-CENTER EARLY IMP.. | Graham Nichol .. | NEAL DICKERT MD PHD,* KAREN N .. | Acute Coronary Syndromes.. | - - |
P-440 | UK public training in and attitudes to c.. | Claire Hawkes .. | Felix Michelet, Chen Ji, Ines .. | Education and Implementation (including .. | - - |
P-441 | Peripartum cardiomyopathy : an underknow.. | Belotti Hugo .. | Brousmiche KarlManara Alessand.. | Epidemiology and outcomes.. | - - |
P-442 | How much Basic Life Support did you lear.. | Elena Alcover .. | .. | Education and Implementation (including .. | - - |
P-443 | Impact of the Airways-2 trial on advance.. | Mohammed Aljanoubi .. | .. | Advanced Life Support (including manual .. | - - |
P-444 | Peer versus expert assessment in medical.. | Aida Mankute-Use .. | AIDA MANKUTE USE, Laima Juozap.. | Education and Implementation (including .. | - - |
P-445 | The differences of urban and rural out-o.. | Valtteri Järvenpää .. | Valtteri Järvenpää, Paula Mäki.. | Epidemiology and outcomes.. | - - |
P-446 | Bystander intervention as an effective a.. | Josephine Ssewanyana .. | Agusto Azuara-Blanco.. | Special circumstances (includes trauma, .. | - - |
P-447 | One-Year Outcomes in an ECPR Program.. | Pau Torrella .. | M. Martínez1,2, E. Argudo1,2, .. | Advanced Life Support (including manual .. | - - |
P-448 | Promoting Patient Safety: A Review in Cr.. | Ana Catarina Godinho .. | Maria do Rosário Pinto.. | Education and Implementation (including .. | - - |
P-449 | Comparison of three learning methods to .. | Clint Jean Louis .. | Clint Jean Louis, Marta Cildoz.. | Education and Implementation (including .. | - - |
P-450 | Assessment of Basic Cardiopulmonary Resu.. | Nuria Estany de Pouplana .. | .. | Education and Implementation (including .. | - - |
P-451 | Twos Company: Towards Adapting Resuscita.. | Miroslav Keselica .. | David Pe&345;an, Roman Skora, .. | Advanced Life Support (including manual .. | - - |
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.