SAFE: A multidisciplinary approach to anaphylaxis education in the emergency department

Philip Lieberman, Wyatt Decker, Carlos A. Camargo, Robert O'Connor, John Oppenheimer, F. Estelle Simons

Research output: Contribution to journalReview article

38 Citations (Scopus)

Abstract

Background: Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death. Allergists and emergency department (ED) physicians recognize the need for multidisciplinary efforts to increase public awareness of anaphylaxis, improve patient education, and enhance emergency and long-term management for the millions of Americans at risk for anaphylactic reactions. Objectives: To provide an overview of the scientific literature documenting inconsistencies and limitations in the management of anaphylaxis in the ED, to highlight the need to enhance ED discharge instructions and patient education materials, and to introduce the SAFE system, an aid to improve the ongoing management and avoidance of factors that contribute to anaphylaxis. Methods: An expert panel of allergists and ED physicians was convened by the American College of Allergy, Asthma and Immunology and the American College of Emergency Physicians to develop recommendations for educational materials on anaphylaxis for ED personnel and patients. Results: The panel developed the acronym SAFE, a mnemonic device to remind physicians of the 4 basic action steps suggested for the care of a patient with anaphylaxis: (1) Seek support, (2) Allergen identification and avoidance, (3) Follow-up for specialty care, and (4) Epinephrine for emergencies. Conclusion: The SAFE system is designed as a tool to raise awareness of anaphylaxis and its treatments among individuals at risk and the ED personnel charged with their care. Future studies need to examine the impact of the SAFE system in decreasing the morbidity and mortality rates associated with anaphylaxis and other severe allergic reactions.

Original languageEnglish (US)
Pages (from-to)519-523
Number of pages5
JournalAnnals of Allergy, Asthma and Immunology
Volume98
Issue number6
StatePublished - Jun 2007

Fingerprint

Anaphylaxis
Hospital Emergency Service
Education
Patient Education
Physicians
Hypersensitivity
Emergencies
Literature
Aftercare
Allergens
Epinephrine
Cause of Death
Patient Care
Morbidity
Equipment and Supplies
Mortality

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Lieberman, P., Decker, W., Camargo, C. A., O'Connor, R., Oppenheimer, J., & Simons, F. E. (2007). SAFE: A multidisciplinary approach to anaphylaxis education in the emergency department. Annals of Allergy, Asthma and Immunology, 98(6), 519-523.

SAFE : A multidisciplinary approach to anaphylaxis education in the emergency department. / Lieberman, Philip; Decker, Wyatt; Camargo, Carlos A.; O'Connor, Robert; Oppenheimer, John; Simons, F. Estelle.

In: Annals of Allergy, Asthma and Immunology, Vol. 98, No. 6, 06.2007, p. 519-523.

Research output: Contribution to journalReview article

Lieberman, P, Decker, W, Camargo, CA, O'Connor, R, Oppenheimer, J & Simons, FE 2007, 'SAFE: A multidisciplinary approach to anaphylaxis education in the emergency department', Annals of Allergy, Asthma and Immunology, vol. 98, no. 6, pp. 519-523.
Lieberman P, Decker W, Camargo CA, O'Connor R, Oppenheimer J, Simons FE. SAFE: A multidisciplinary approach to anaphylaxis education in the emergency department. Annals of Allergy, Asthma and Immunology. 2007 Jun;98(6):519-523.
Lieberman, Philip ; Decker, Wyatt ; Camargo, Carlos A. ; O'Connor, Robert ; Oppenheimer, John ; Simons, F. Estelle. / SAFE : A multidisciplinary approach to anaphylaxis education in the emergency department. In: Annals of Allergy, Asthma and Immunology. 2007 ; Vol. 98, No. 6. pp. 519-523.
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