Allergy Asthma Respir Dis.  2019 Oct;7(4):199-205. 10.4168/aard.2019.7.4.199.

119 Rescue team's awareness of anaphylaxis and asthma exacerbation in Gyeonggi-do province of Korea: Before and after education

• Seo B
• Lee SH
• Yang MS
• Lee SH
• Kim SH
• Cho SH
• Chang YS

• KMID: 2461397
• DOI: http://doi.org/10.4168/aard.2019.7.4.199

Abstract

PURPOSE
Anaphylaxis and asthma exacerbation could be life-threatening medical emergencies. The 119 (911 in the United States) rescue teams are at the forefront of such emergency conditions. Early recognition and proper prehospital management by 119 rescuers are important. We evaluated the awareness of 119 rescuers of anaphylaxis and asthma exacerbation in Korea.
METHODS
Between May 17 and June 28 of 2018, a total of 180 rescuers were recruited from Gyeonggi-do province, Korea. The 90-minute educational sessions on anaphylaxis and asthma exacerbation were provided by an allergy specialist, which included some lectures and a hands-on workshop on self-injectable epinephrine autoinjector. A questionnaire survey with the same content was performed before and after education to assess the improvement in awareness. It had 2 domains: anaphylaxis awareness and asthma awareness.
RESULTS
After education, awareness score for anaphylaxis increased from an average of 3.1 (51.7%) to 5.5 (91.7%). Particularly, the effect of education on the use of epinephrine, the most crucial treatment for anaphylaxis, was greatest. The awareness score for asthma after education increased from an average of 21.3 (78.9%) to 25.1 (93%). The effect of education on treatment and management of asthma was greatest.
CONCLUSION
The 119 rescuers could be the first medical personnel at the forefront of anaphylaxis and asthma exacerbation. Hence, it is important to increase their awareness of anaphylaxis and asthma exacerbation. A simple educational activity can dramatically change the level of awareness.

Keyword

Anaphylaxis; Asthma; Rescue work

MeSH Terms

Anaphylaxis*
Asthma*
Education*
Emergencies
Epinephrine
Gyeonggi-do*
Hypersensitivity
Korea*
Lectures
Rescue Work
Specialization
Epinephrine

Figure

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  Fig. 1. Distribution of the fire stations and 119 centers of 180 rescuers who participated in the study.

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  Fig. 2. Improved awareness on anaphylaxis and asthma exacerbation after education among 119 rescue teams. * P<0.05.

Reference

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