INTERNATIONAL FEDERATION FOR EMERGENCY MEDICINE

22nd International Conference on Emergency Medicine

 

13-16 June, Amsterdam
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22nd International Conference on Emergency Medicine

 

13-16 June, Amsterdam
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PosterSessionOnline
   13-168 | 184-395 |
posters found | 38
Poster no.
Poster/abstract title
Author
Co-authors
Topics
Presentation date and time
P-184 EQUESTRIAN INJURIES IN THE EMERGENCY DEP.. Sahira Nahari .. .. Other.. - -
P-202 RELAPSE RATES FOLLOWING USE OF DEXAMETHA.. Johnny Burrows .. .. Pediatrics.. - -
P-209 PLAIN RADIOGRAPHIC ANALYSIS OF LARYNGEAL.. Jung Heon Kim .. .. Pediatrics.. - -
P-224 TREATMENT OF COVID-19 PATIENTS WITH ANIS.. Fei Chen .. Xiangkun Tao, Feng Wan, Ke Che.. Pharmacology.. - -
P-268 IMPACT OF HIGH FLOW NASAL CANNULA IN THE.. Alex Van Hoorn .. .. Pulmonary Disease/COVID.. - -
P-277 A CASE OF FUSARIUM INFECTION DURING TREA.. Daisuke Usuda .. Hiroki Takami, Jiro Oba, Tomoh.. Pulmonary Disease/COVID.. - -
P-287 SEVERE HYPERLACTATEMIA IN THE EMERGENCY .. Pariwat Phungoen .. .. Resus/Critical Care.. - -
P-289 MAJOR HAEMORRHAGE PROTOCOL ACTIVATION AN.. Petrus Du Plooy .. .. Resus/Critical Care.. - -
P-292 ACUTE AORTIC OCCLUSION, A RARE ENTITY.. Juliana Poh .. Paul Yugendra, Priscilla Ting .. Resus/Critical Care.. - -
P-295 EFFECTS OF INTRATHECALLY ADMINISTERED SN.. Kyung Woon Jeung .. .. Resus/Critical Care.. - -
P-296 PROGNOSIS OF PATIENTS WITH EXTREME ACIDO.. Yonatan Gershinsky .. Amichai GutgoldJeries Nashashi.. Resus/Critical Care.. - -
P-334 INCREASING COMPETENCE OF HEALTHCARE PROV.. Judith Polak .. Lisanne TimmerFabienne Roossie.. Teaching & Education & Simulation.. - -
P-343 WINGFACTORS: A COMMUNICATION COURSE FOR .. Heidi Edmundson .. Dr Natalie FletcherDr Hannah S.. Teaching & Education & Simulation.. - -
P-349 HYBRID TEACHING MODEL FOR ULTRASOUND GUI.. Steven Chiang .. Dr Alistair Murray.. Teaching & Education & Simulation.. - -
P-351 A CASE REPORT OF HIGH DOSAGES OF DEXTROM.. Shintaro Shimozawa .. Daisuke Usuda, Shiho Tsuge, Ri.. Toxicology.. - -
P-379 MASSIVE SUBCUTANEOUS EMPHYSEMA - A SIMPL.. Kyungko Huh .. Sunao Yamauchi.. Trauma.. - -
P-384 NEW LIGHT ON AN OLD PROBLEM: ATTENDANCES.. Rachel Jenner .. Kate ShethwoodMartin SmithAnto.. Trauma.. - -
P-395 ASSOCIATION BETWEEN LUNG CONTUSION VOLUM.. Ryosuke Nobe .. .. Trauma.. - -
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Abstract

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.

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