Lesson 1Prescribing and teaching epinephrine auto-injector use (who needs one, demonstration, action plans, carrying and storage)Dis section cover who should receive epinephrine auto-injectors, device selection, dosin, an hands-on teachin. It emphasize demonstration, practice, written action plans, safe storage, carriage, an strategies to overcome patient an caregiver hesitancy.
Identifying patients who need auto-injectorsSelecting device type and appropriate doseStep-by-step injection demonstrationCreating individualized emergency action plansCounseling on carriage, storage, and expiryAddressing fears and adherence barriersLesson 2Immunology of IgE-mediated and non-IgE food reactions (mechanisms, typical timing, co-factors)Dis section explain IgE-mediated an non-IgE food reaction pathways, includin mast cell activation, cytokines, an effector organs. It review timin patterns, cofactors such as exercise or NSAIDs, an how mechanisms relate to clinical presentation an risk.
Sensitization and IgE production to food proteinsEffector phase: mast cells, basophils, mediatorsNon-IgE mechanisms and mixed phenotypesTypical timing of immediate and delayed reactionsRole of cofactors: exercise, alcohol, NSAIDsImmunologic basis of reaction severity and thresholdsLesson 3Allergy testing strategy (indications and interpretation of skin prick testing, serum specific IgE, component-resolved diagnostics, limitations and false positives)Dis section review indications fi allergy testing, compare skin prick testing, serum specific IgE, an component diagnostics, an teach interpretation, predictive values, an common pitfalls, emphasizin limitations, false positives, an integration wid clinical history.
When to order food allergy testingSkin prick testing technique and safetySerum specific IgE: uses and cutoffsComponent-resolved diagnostics in food allergyFalse positives and overdiagnosis risksIntegrating test results with clinical historyLesson 4Acute management in primary care (recognizing anaphylaxis, epinephrine indications, adjunctive medicines—antihistamines, corticosteroids, bronchodilators)Dis section detail acute management a food-triggered reactions in primary care, includin rapid recognition a anaphylaxis, indications an dosin fi intramuscular epinephrine, an appropriate use a antihistamines, corticosteroids, bronchodilators, an observation.
Triage and early recognition of anaphylaxisEpinephrine dosing, route, and repeat criteriaAdjunctive antihistamines and corticosteroidsBronchodilators for lower airway involvementObservation periods and discharge criteriaWhen and how to activate emergency servicesLesson 5Food avoidance counseling and labeling literacy (reading menus, cross-contamination risk, restaurant safety communication)Dis section train clinicians to counsel patients pon strict food avoidance, interpret labels an precautionary statements, assess cross-contact risks in varied settings, an communicate clearly wid restaurants, schools, an caregivers to prevent reactions.
Core principles of strict food avoidanceDecoding ingredient lists and allergen labelsUnderstanding precautionary advisory statementsPreventing cross-contact in home kitchensRestaurant risk assessment and safe orderingCounseling schools, camps, and caregiversLesson 6Referral and follow-up (when to refer for oral food challenge, allergy specialist workup, long-term monitoring)Dis section explain when to refer patients fi allergy specialist evaluation, includin oral food challenges an advanced testing, an outline follow-up schedules, monitorin fi resolution or persistence, an updatin action plans an avoidance advice.
Indications for allergy specialist referralCriteria for supervised oral food challengeCoordinating care with dietitians and schoolsMonitoring for tolerance development over timeUpdating action plans and prescriptionsSupporting psychosocial and quality-of-life needsLesson 7Focused history for suspected food allergy (meal details, timing, reproducibility, dose, previous exposures, exercise/alcohol co-factors, prior reactions)Dis section develop skills fi a focused allergy history, includin meal composition, timin a symptoms, reproducibility, dose thresholds, prior exposures, cofactors such as exercise or alcohol, an previous reactions, to guide testing, counseling, an risk assessment.
Structuring the acute reaction interviewDocumenting meal contents and preparationOnset timing and symptom progressionAssessing reproducibility and dose dependenceExploring exercise, alcohol, and NSAID cofactorsCapturing prior reactions and baseline atopyLesson 8Differential diagnoses (food intolerance, scombroid, histamine toxicity, chronic spontaneous urticaria)Dis section outline key alternative diagnoses dat mimic food allergy, includin food intolerance, scombroid poisoning, histamine toxicity, an chronic spontaneous urticaria, an provide clinical clues, testing strategies, an management differences fi each condition.
Distinguishing allergy from food intoleranceRecognizing scombroid and fish-related histamineOther causes of histamine toxicity syndromesChronic spontaneous urticaria and angioedemaMedication and infection-related mimickersTargeted investigations for alternative diagnosesLesson 9Physical exam and identification of anaphylaxis vs isolated urticaria/angioedema (airway, cardiovascular, respiratory signs, skin assessment)Dis section teach focused physical examination fi suspected anaphylaxis, emphasizin airway, breathin, an circulation assessment. Learners will distinguish anaphylaxis from isolated urticaria or angioedema an recognize red flags requirin immediate epinephrine.
Rapid primary survey: airway, breathing, circulationKey skin findings in acute allergic reactionsRespiratory signs of evolving anaphylaxisCardiovascular and neurologic red flagsDistinguishing localized angioedema from anaphylaxisDocumentation of exam findings in emergencies
