2 - 4 November, Barcelona, Spain
P-452 | Molecular Imaging and Acute Coronary Syn.. | Shehla Quereshi .. | Dr Athar HaroonDr Ghulam Musta.. | Acute Coronary Syndromes.. | - - |
P-453 | Innovating Emergency MedicineEducation: .. | Katarzyna Naylor .. | Maja Chrzanowska-W&261;sik, Pa.. | Education and Implementation (including .. | - - |
P-454 | A bibliometric analysis of research topi.. | Nino Fijacko .. | .. | Education and Implementation (including .. | - - |
P-455 | usability in a telemedicine system for n.. | Kogoro Iwanaga .. | .. | Newborn resuscitation.. | - - |
P-456 | Qualitative assessment of community chal.. | Shaveta Khosla .. | Courtney Schwerin (courtney.il.. | Education and Implementation (including .. | - - |
P-457 | Temporal trends in EMS-witnessed out-of-.. | Emil Blom-Hanssen .. | Harman Yonis, MD; Filip Gnesin.. | Epidemiology and outcomes.. | - - |
P-458 | Two-person technique to remove a foreign.. | Nino Fijacko .. | .. | Basic Life Support and AED.. | - - |
P-459 | Prehospital Optimal Shock Energy for Def.. | Helen Pocock .. | Charles Deakin, Ranjit Lall, D.. | Advanced Life Support (including manual .. | - - |
P-461 | Effects of an educational intervention a.. | Cecilia Andréll .. | .. | Education and Implementation (including .. | - - |
P-462 | Responding to a wreck with 700 people on.. | Vasiliki Dimitropoulou Nteimente .. | Zigoura Anastasia.. | Special circumstances (includes trauma, .. | - - |
P-464 | Outcome of comatose survivors of OHCA af.. | Spela Tadel-Kocjancic .. | Spela Tadel-Kocjancic, Anja Ja.. | Post resuscitation care (including progn.. | - - |
P-465 | Basic Life Support Program in Catalan sc.. | Noemi Asensio .. | Sergi AtienzaSara SevillaCrist.. | Basic Life Support and AED.. | - - |
P-466 | First Responder interventions and applic.. | Sarah Brune .. | Sarah Brune, Michael Felfernig.. | Basic Life Support and AED.. | - - |
P-468 | Association between early variation in h.. | Aurora Magliocca .. | Giulia Merigo, Matteo Pozzi, F.. | Post resuscitation care (including progn.. | - - |
P-470 | Reccurent and persistent ventricular fib.. | Vivien Hong Tuan Ha .. | Vivien HONG TUAN HA,Daniel JOS.. | Basic Life Support and AED.. | - - |
P-471 | Improving Bystander Response: How Long D.. | James Menegazzi .. | Erin R. Gramm, Jorge A. Gumuci.. | Basic Life Support and AED.. | - - |
P-472 | Diabetes and CHD are the independent ris.. | Haifang Yu .. | .. | Epidemiology and outcomes.. | - - |
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.