2 - 4 November, Barcelona, Spain
P-114 | Ambulance and helicopter response times .. | Peter Martin Hansen .. | Peter Martin Hansen, Sren Mikk.. | Resuscitation Systems (including dispatc.. | - - |
P-115 | Air versus ground transport times: a ret.. | Sabrina Chevalier .. | Sabrina Chevalier, Didier Moen.. | Acute Coronary Syndromes.. | - - |
P-116 | Sympathetic Crashing Acute Pulmonary Ede.. | Akshay Kumar .. | Jyothiswaroop Bhaskararayuni, .. | Epidemiology and outcomes.. | - - |
P-117 | Clinicians approach to predicting outcom.. | Alexis Steinberg .. | Alexis Steinberg, Yanran Yang,.. | Post resuscitation care (including progn.. | - - |
P-118 | Descriptive Study of Activity in the Res.. | Jaume Ortet .. | Jaume Ortet, Maria Delgado-Ort.. | Epidemiology and outcomes.. | - - |
P-119 | Scanning Timing, Clinical Severity, and .. | ByeongKwon Park .. | Gisu YoonJin Hong MinJung Soo .. | Post resuscitation care (including progn.. | - - |
P-121 | Blood Pressure Targets For Out-Of-Hospit.. | Shir Lynn Lim .. | Shir Lynn Lim, Christopher Low.. | Post resuscitation care (including progn.. | - - |
P-122 | Staff perceptions on the value of a card.. | Deirdre Campbell .. | Deirdre Campbell.. | Resuscitation Systems (including dispatc.. | - - |
P-123 | Regional cerebral oxygen saturation in r.. | Shir Lynn Lim .. | Shir Lynn Lim, Siew Pang Chan,.. | Post resuscitation care (including progn.. | - - |
P-124 | Change in ventilation parameters accordi.. | Chang Je Park .. | Jonghwan Shin, Jung Ho Shin.. | Advanced Life Support (including manual .. | - - |
P-125 | A prospective observational study of the.. | Stefano Malinverni .. | Dina Farhat, Simon Kalisz, Dia.. | Advanced Life Support (including manual .. | - - |
P-126 | Out of hospital cardiac arrest caused by.. | Elin Lindqvist .. | Elin Lindqvist, Jacob Hollenbe.. | Special circumstances (includes trauma, .. | - - |
P-127 | Fully Automated Cardiopulmonary Resuscit.. | Jason van der Velde .. | Mr. Paul DolanDr Eoin FogartyM.. | Advanced Life Support (including manual .. | - - |
P-134 | Effect of highly educated neighborhoods .. | Minwoo Kim .. | SD Shin, YS Ro, J Ko, E Ko, KJ.. | Paediatric resuscitation.. | - - |
P-135 | Self-reported health problems in relativ.. | Johan Israelsson .. | Carina Hjelm, Susanna gren, Kr.. | Epidemiology and outcomes.. | - - |
P-136 | Smartwatches and QCPR application for co.. | Mikhail Cherkashin .. | Mikhail Cherkashin, Alexey Nik.. | Education and Implementation (including .. | - - |
P-138 | Instructor and Candidates views of a nov.. | Alan Williams .. | Alan Williams, Kevin Mackie, P.. | Education and Implementation (including .. | - - |
P-139 | Mortality Evaluation According to Length.. | Mustafa Emin anaki .. | Ruhi Cure, Nurdan Acar, Filiz .. | Post resuscitation care (including progn.. | - - |
P-140 | Comparisons of the vertical one-handed c.. | Jiwoon Kim .. | .. | Paediatric resuscitation.. | - - |
P-141 | Three years experience of deploying AED-.. | Andreas Claesson .. | Andreas Claesson.. | 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.