Studies have demonstrated that hands on practice offered by case simulation is more effective than standard classroom instruction.
You can do simulation in your office. A 3$ doll from Value village can serve as your "mannequin".
Simulation mannequins are now very high fidelity - can show vitals, O2 sat, wheeze, cry, turn cyanotic, have heart murmurs.
When practicing for management of #anaphylaxis in your office - use closed loop communication - ie Give Epinephrine 0.3mg IM now -- "0.3mg Epi given" - document all steps taken like in a real scenario.
Plan for your worst day in clinic, not your typical day - know your patient's weight, allergies. IM epi dose, IV resuscitation epi dose, where is your crash cart, suction, etc.
Good to have roles - Team lead, some on airway, Med prep, beside RN, order entry and recorder.
This is a Twitter summary from #ACAAI18 meeting based on tweets by the following allergists: @DrAnneEllis
Anaphylaxis - Different Causes. Click here to enlarge the image.