Tag Archives for " breathing "

Child with salbutamol inhaler giving thumbs-up

Emergency Salbutamol Inhalers in Schools

Good news for schools!

New regulations have just been issued regarding the use of reliever asthma inhalers in schools.

From 1st October 2014 the Human Medicines (Amendment) (No2) Regulations 2014 will allow schools to hold a spare emergency asthma inhaler for use in emergencies.

These inhalers can only be used by children for whom parental consent has already been given to use an emergency inhaler and who normally carry an inhaler to school as they have been diagnosed with asthma or have been prescribed a reliever inhaler.

It can be used if the pupils prescribed inhaler is not available (for example because it is empty or broken).

Head teachers can purchase the salbutamol inhalers for the treatment of acute asthma attacks from pharmaceutical suppliers. Suppliers will need a signed request from the head stating the quantity of inhalers required and for what purpose.

They will also need to purchase spare spacer devices to help administer the drug.

Asthma is a long-term condition which affects the small air passages in the lungs.

If you'd like your school staff trained in treating asthma in schools, take a look at our Supporting Pupils at School with Medical Conditions training course, and our 2-day Paediatric first aid course.

First Aid Treatment of asthma is also covered in our 3-day First Aid at Work course.

Wooden bowl with nuts and dried fruits.

Food Allergies on the increase?

Food Allergies on the increase?

Food allergies appear to be on the increase. A new study out this week stated that some 25,000 people are affected by a peanut allergy, with children aged between 5-9, the most likely to be affected and boys from wealthier backgrounds more likely to have it than girls.

More than 18 million affected

According to the Anaphylaxis Campaign more than 18 million people in the UK are affected by allergy at some time in their lives. Approximately 1 million of those will have severe, life threatening allergies.

Common Triggers

Common triggers include:

  • peanuts
  • tree nuts
  • dairy products
  • kiwi
  • fish & shellfish
  • sesame, and
  • eggs.


Symptoms often include:

  • difficulty breathing
  • swelling of the mouth and throat
  • itchy rashes, and
  • collapse.

Avoiding problems

Food-related allergies are becoming an increasing problem. Those affected must continually read the ingredient list every time they buy products, as recipes and production methods can vary. It’s not just foods that can be affected either.  Allergens can appear in a wide variety of other things too including skin products, medicines and cosmetics.Labels such as “may contain nuts” or “produced in a factory that handles nuts” do not help the allergy sufferer much as it reduces the amount of foodstuffs that are available to them. It is not worth ignoring the warning and taking the risk as small traces of the allergens may be present.

Further Reading

New Resuscitation Guidelines 2010


Did you know that modern CPR as we know it has been around for 50 years and has changed a few times over that time period? Those who have attended first aid courses often seem to think that it changes every time that they learn it which is not entirely true. The guidelines change on average every 5 years and yesterday (18 October 2010) new guidelines were published for the 50th anniversary.

Well over 30 000 people a year suffer a cardiac arrest but very few survive due to a variety of reasons, not least an unwillingness on the part of the general public to perform CPR.

Press Reports

In response to the new guidelines the BBC yesterday sensationally “warned” members of the public against giving what they archaically called the “Kiss of Life” unless they have been specifically trained to do so, stating that new guidelines have suggested that this is for the best. Only when you read through the whole article did you get to the part that said that if  bystanders are trained in  CPR techniques  including mouth to mouth (Kiss of life), then this remains  the best option.

In my opinion this type of sensationalist journalism, whilst trying to convey the message that any resuscitation attempt is a good thing, only serves to confuse and possibly will make those that have been trained uncertain about which route to take. As such the guidelines that were implemented in 2005 remain essentially the basis for the new current guidelines as seen below.

True Changes

Let me clarify, those that have been trained i.e. First aiders and those people with a duty of care such as  lifeguards and childminders should continue to do mouth to mouth ventilations as part of the sequence shown below (Adult Basic Life Support Algorithm) and are essentially the same as the 2005 guidance with a few minor modifications.

The following will explain why these modifications are necessary.

It is well recognised that initiating the Chain of Survival improves outcomes and leads to more people surviving cardiac arrest.

Basic CPR is unlikely to restart a heart that has stopped beating, but it does help keep blood flowing to the brain and helps keep that functioning so that when a defibrillator is used hopefully the heart will restart.

The chest compression component of CPR is therefore crucial in generating that blood flow. As such although the changes that have been made are fairly minimal from a first aid point of view, emphasis has been made on ensuring that good quality chest compressions are achieved in order to minimise the time spent without blood flowing around the body.


Compressions need to be faster and harder than before. Compressions should now be a rate of 100-120 per minute and should be pushed down to a depth of 5-6 cm.


Changes have also focused on the need to ask for an Automatic External Defibrillator (AED) if one is available when calling for help (999). Increasingly theses devices are being found out and about in the big wide world and should be used if at all available. Crucially you now do not have to be trained to have a go at one although obviously it helps. They have been designed to be as simple as possible. You turn them on & follow the instructions.

For those without CPR Training

The newspapers and other media sources have picked up upon the guidance where someone is unwilling to or has never been trained in CPR. Then chest compression only CPR is acceptable, if the emergency services are a short distance away or if you are being instructed over the telephone.

Help to Save a Life

The key thing to take away from all this is to try to save a life, because at the end of the day this is what matters. If you’ve had a little training, call 999 and perform CPR as 30 compressions :2 breaths and if you haven’t, dial 999 follow their instructions keeping on going until the ambulance arrives.

Hopefully you will never need to put your skills to use but if you are ever in such a situation I hope you will try.