2 - 4 November, Barcelona, Spain
P-257 | Validation of chest compression position.. | Kento Sumura .. | Ryo Sagisaka, Masaya Tamura, T.. | New technology.. | - - |
P-258 | Influence of television and CPR training.. | Andrea Terrazas .. | .. | Epidemiology and outcomes.. | - - |
P-260 | Development of self-made realistic 3D hu.. | Takumi Umetsu .. | Ryo Sagisaka, Tsutomu Komine.. | New technology.. | - - |
P-261 | A rare case of Out-of-hospital Cardiac A.. | Konstantinos Fortounis .. | .. | Special circumstances (includes trauma, .. | - - |
P-262 | Cardiac Arrest after Severe Epistaxis.. | Konstantinos Fortounis .. | .. | Special circumstances (includes trauma, .. | - - |
P-264 | Trapezoidal wave chest compression reduc.. | Shiyuan Tang .. | .. | Basic Life Support and AED.. | - - |
P-265 | Empowering teachers in Wales to deliver .. | Wendy Hardyman .. | Julie StarlingSusan Goodfellow.. | Education and Implementation (including .. | - - |
P-266 | Bystander cardiopulmonary resuscitation .. | Mahiro Kamikubo .. | Ryo Sgisaka, Tsutomu Komine.. | Education and Implementation (including .. | - - |
P-267 | Behavioral intention of cardiopulmonary .. | Ryo Sagisaka .. | Mahiro Kamikubo, Tsutomu Komin.. | Education and Implementation (including .. | - - |
P-268 | CARDIAC ARREST IN THE PEDIATRIC PATIENT:.. | Giuseppe Stirparo .. | .. | Education and Implementation (including .. | - - |
P-269 | Association Between Initial pH Levels an.. | Hanga Park .. | .. | Advanced Life Support (including manual .. | - - |
P-271 | Peak pressure in simulation training on .. | Luis Castro Alonso .. | Felipe Fernández Méndez, María.. | Education and Implementation (including .. | - - |
P-272 | Teaching to call 112 with the Icalled-DI.. | Sheila Vazquez .. | María Fernández Méndez, Adrian.. | Education and Implementation (including .. | - - |
P-274 | CPR with resuscitation device in gym ath.. | Giorgi Grivi .. | Evelyn Betancourt, María Arjon.. | New technology.. | - - |
P-276 | Teaching CPR with resuscitation device i.. | Marina Bezobrazova .. | Esther Linares, Carmen Jaime, .. | New technology.. | - - |
P-277 | Cardiac Arrest Resuscitation in General .. | Tomás Barry .. | .. | Resuscitation Systems (including dispatc.. | - - |
P-279 | The praxis of do-not-attempt-cardiopulmo.. | Joerg Carlsson .. | Anders Bremer, Emilie Bertilss.. | Education and Implementation (including .. | - - |
P-281 | Solid organ deceased donation in Europe .. | Yann Pionnier .. | Cornelia GENBRUGGE.. | Advanced Life Support (including manual .. | - - |
P-282 | Teaching CPR with resuscitation device i.. | Esther Linares .. | Evelyn Betancourt, Marina bezo.. | New technology.. | - - |
P-283 | CPR With FeedBack device for family memb.. | Carmen Jaime .. | María Arjona Ballesteros, Iren.. | New technology.. | - - |
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.