Allergies can be life-threatening

Allergic Reactions

Allergies and anaphylaxis can be great cause of concern in the hospitality industry.Allergens causing anaphylaxis

Talking to the manager of an expensive and exclusive restaurant recently, he related a story that nearly ended in catastrophe.

Jenny, the wife of a customer who has known allergies had phoned to book a table for his 50th birthday.

Menus

She explained, “I’m really worried, it’s my husband John’s birthday celebration, but he has serious allergies to peppers, nuts and celery, so I need to know what items on the menu, he should avoid.”

Although the restaurant menu had explicit descriptions of allergens, the manager decided the safest plan was to let the customer talk to the chef.

After a careful discussion of her requirements they agreed an adapted menu would be provided on the day. Satisfied with the outcome the table was booked for the 4 guests, to Jenny’s delight.

The day arrived, and as promised chef greeted the group in the bar, where he delivered his specially created menu, quickly followed by the sommelier with the wine list.

Orders placed, the group went through to their table and began their meal.

The sommelier arrived shortly after with their selected wine, and everyone was chatting and enjoying the evening.

“Help me?” was the next thing anybody heard. John stood up having difficulty to breathe, his mouth and tongue swelling and his eyes red and itching.

Fortunately, his wife immediately identified what was happening. John was having a severe allergic reaction, known as anaphylaxis, and she got him to lay down on the floor, before he collapsed.

What to do

“Someone dial 999 to call an ambulance, and tell them John’s having an anaphylactic reaction”, she shouted.

She started searching John’s pockets for the adrenaline auto injector he always carries.

Epipen auto injector
Epipen auto injector

Auto injectors come in several brands such as Epipen or Jext.

Using them is basically the same, remove the cap and punch the needle end hard into the top of the thigh, straight through the clothing. It’s important to hold it in place for ten seconds and then massage the area for a further ten seconds.

The ambulance crew arrived shortly after and took over John’s care. If he hadn’t responded to the adrenaline, Jenny may have needed to give a second dose with another injector, often carried by the patient too, or if he’d stopped breathing start CPR (cardio pulmonary resuscitation).

After John had been despatched to hospital, the restaurant started to investigate. How after so much care with the menu  could this happen? What had they inadvertently served, that had caused such a severe allergic reaction?

Subsequent tests for John, revealed he had an undiagnosed allergy to sulphites in the red wine he’d been drinking.Sulphite Allergens

If you work in the hospitality industry or have relatives and friends with allergies.

You really should consider one of our training courses, either general CPR life saving skills or Anaphylaxis Management.

Anaphylaxis is a life-threatening condition.

 Find out and book one of our courses here

Do you need that ambulance

emargency call button mobile phoneAmbulance Response

Ambulance response times are at their most challenging during winter months.

More and more people have accidents or are taken ill, and as a result you may have to wait longer.

Emergency departments are also under great pressure too, and this in turn delays ambulances getting back on the road.

That’s why you should be extra sure that you really need them before you call 999/112.

Always carefully check the person’s condition, are they breathing, are they responding?

If  someone’s collapsed, don’t automatically phone for help, they may be asleep, fainted or under the influence and not need the ambulance service.

What to do

Have a good look around, see if there’s any obvious reason they’re there.

Is there an electric cable nearby or a toppled chair, these are pretty good indicators of what might have happened.

Is it safe to approach them, if there’s a cable don’t touch them, until you’re sure the power has been disconnected and it’s safe to do so.

Approach from their feet, checking there’s no immediate danger to you.

Try to get a response from them, by asking loudly, “can you hear me”, and shaking their foot or shoulders.

If they don’t react, shout for help, then make sure they’re on their back and start checking them over.

Check they’re breathing

It’s important to open the casualty’s airway, making sure they can breathe.

Open their mouth and look for any obstruction, with one hand press firmly down on their forehead, at the same time using two fingers under their chin lift the head backwards, allowing their mouth to open, this will ensure they have a clear airway.

Next place the side of your face close to their mouth, so that you’re looking down their chest.

Watch for the rise and fall of the chest, listen for the sound of breathing and feel for breath on your cheek, do this for about 10 seconds allowing enough time for 2 normal breaths.

If you can’t detect any signs of breathing, time to get get your helper, or if you’re on your own, phone for an ambulance and start CPR (cardio pulmonary resuscitation) immediately, or here’s the British Heart Foundation video of CPR.

If possible, put the call on speaker phone so you and your helper can answer any questions and hear any instructions.

The call handler will ask you basic questions about where you are and what’s happened.

Tell them, that you have an unresponsive, casualty who is not breathing.

They’ll tell you to begin CPR, instructing you what to do.

Use an AED
An AED Training unit.

They’ll also tell your helper about the nearest AED (automated external defibrillator), giving  the access code, and advising the expected ambulance response time.

It’s essential to keep giving CPR and ideally giving rescue breaths too, if your happy to do so.

You must continue with CPR compression, until professional help arrives, or the casualty makes definite signs of life, such as, pushing you away.

When the defibrillator arrives, tell your helper to unpack it and follow the instructions, you must continue CPR uninterrupted.

Having confidence to act in an emergency

If you’d like to learn how to perform CPR and use an AED, book one of our Basic Life Support Courses or qualify as an Emergency First Aider, it looks great on your C.V. too.

Walking like a Penguin

Two penguins as if talking
Courtesy Hilary Backwell

Slippery Days

It seems every year here in the UK, we get caught out by icy weather, and this year is no exception.

Ice and snow, fog and floods, these all seriously impact on our way of life, delaying trains, blocking roads and generally making things difficult.

But delays and diversions are nothing compared to the personal pain and anguish inflicted by slips, trips and falls because of ice and snow.

Equally important, is how these impact on our overwhelmed National Health and Ambulance Services. The subsequent strain on social services when these injuries happen to vulnerable people is immense.

As a First Aid Trainer I know the consequences of fractures, so any way in which we can mitigate these injuries must be a good thing.

What to do

Learning from the experts is always a good idea. When the Norwegians suggest that we should adopt a different approach to walking on ice, it would seem to make sense. They in turn are looking to another level of expertise, the penguins.

Diagram of how penguins walk on ice
Courtesy of Visit Northern Norway https://www.facebook.com/NorthernNorway/photos http://www.northernnorway.com/

You’ll see from the accompanying diagram provided by a  Visit Northern Norway.

Simply modifying your posture and centre of gravity, walking on ice can be much safer and getting around in these conditions easier.

Broken bones, particularly hips, are massively expensive both financially and in lives. By copying the way our Antarctic friends walk, we may  help both ourselves and the hard-pressed health professionals.

penguins walking up ice berg slope
Courtesy Hilary Backwell

Although the current cold snap may not last, remember, “walking like penguin”, brings its own benefits in icy weather.

If the worst happens, it’s good to know that there are trained people to assist, until professional help arrives.

Learning to be a First Aider is a valuable social skill, not only for winter injuries. It provides you with the confidence to deal with more serious conditions, such as cardiac arrests, choking, burns and bleeding.

So, if you’d like to have that confidence, please book a first aid course to suit your needs, whether a fully regulated qualification or a more casual approach.

See our blog Help keep our ambulances free for real emergencies

Don’t play hide and seek – time is precious

 

Saving a lifeAED defibrillator unit

Do you have an AED defibrillator on your business premises?

More importantly do you know what an AED defibrillator is for?

If you’ve got one, is it exclusively for the private use by your company and employees?

Would you considered making your AED defibrillator available to public access, and registering it with the ambulance service?

Do all your workers know where it’s located and how to use one?

They’re going to die

When your casualty is dying in front of your eyes, it’s not the time to be asking the manager, where to find it.

Time is critical, and is the difference between life and death.

For every minute that passes following the sudden cardiac arrest, the chances of survival reduce by 10%.

By acting quickly and starting Cardio Pulmonary Resuscitation (CPR) immediately, you’re starting to circulate the oxygen remaining in their blood to the brain.

Sadly, CPR alone is nowhere near as successful as TV soaps would have you believe.

The survival rate for using CPR and rescue breaths alone is around 5%.

Have your own AED defibrillator

By investing in your own device you’re not only looking after your employees, customers and visitors, you’re giving them a massively improved chance of surviving an Sudden Cardiac Arrest.

By early use of a AED defibrillator the chance of recovery is nearer 75 to 80%.

If you have an AED, do you have someone responsible for checking and maintaining the unit regularly?

This would normally be your certified First Aider or the “Appointed Person” who also looks after the First Aid Box.

Finally, make sure everyone in your company knows where your AED defibrillator is. Don’t keep it a hidden secret.

If you don’t have one, please think about installing one.

We can help you purchase one, or provide you with a rental unit from as little as 99p per day.

Book a course and we can help you buy one and train you to use it.

Help me – I’m choking!

woman holding throatCelebration Dinner

You’re having a wonderful meal with friends, laughing and joking.

Suddenly one of the group stands up clasping at her throat and unable to speak.

Are you choking? Someone asks her, she nods frantically.

What will you do?

Firstly, you should encourage them to cough, this will hopefully dislodge whatever is choking them or causing the obstruction.

If that doesn’t work, provide reassurance that you’re going to help.

Get them to lean forwards and support them with your arm, then standing slightly to one side, give up to 5 sharp blows between their shoulder blades with the heel of your hand.

If this still hasn’t worked, be prepared to give up to 5 abdominal thrusts.

You must stand behind the casualty, bring your arms around their waist and bend them forward, create a fist with one hand and clasp the other hand around it.

Pull sharply inwards and upwards between their tummy button and the bottom of the breast bone.

Do this up to 5 times

choking on peanutsCall for Help

Still not working get someone to call 999 or 112, both these numbers work in the UK and will connect you to the emergency services.

Get someone to tell the operator you have a choking casualty and what you’ve tried.

You must continue with 5 more back slaps and 5 more abdominal thrusts until, either the object is ejected, professional help arrives or the casualty stops breathing.

If they stop breathing you must immediately start Cardio Pulmonary Resuscitation (CPR) and ask the emergency services for the nearest Automated External Defibrillator (AED) and the access code, then send someone to get it.

When ever abdominal thrusts have been administered, the casualty must be checked out at hospital in case damage has been done to internal organs.

If you need a First Aid qualification or just want to find out more about our courses click here