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Abstract: . . . idency programs. Moreover, site investigators have a research interest in allergy and asthma, and this interest might have carried over to other members of the ED staff. Thus, these results might not reflect management pat- terns among nonacademic or rural EDs. In summary, this multicenter study demonstrates that concordance with recommended guidelines for the treat- ment of food -related acute allergic reactions is very low. Severity of the allergic reaction does not appear to cause a significant increase in the use of epinephrine in the ED or epinephrine . . . . . . Krause R. Anaphylaxis. Available at website: http://emedicine.com/ emerg/topic25/htm . Accessed January 31, 1999. 5. Yocum MW, Butterfield JH, Klein JS, Volcheck GW, Schroeder DR, Sil- verstein MD. Epidemiology of anaphylaxis in Olmsted County: a popu- lation-based study. J Allergy Clin Immunol 1999;104:452-6. 6. Klein JS, Yocum MW. Underreporting of anaphylaxis in a community emergency room. J Allergy Clin Immunol 1995;95:637-8. 7. Matasar MJ, Neugut AI. Epidemiology of anaphylaxis in the United States. Curr Allergy Asthma Rep 2003;3:30-5. . . . . . . was submitted to the EMNet Coordi- nating Center, and the random numbers feature in Excel (Microsoft Corp, Redmond, Wash) was used to rank the list with the top 40 patients being those randomly identified to undergo chart review. Repeat visits by individual subjects were excluded. Visits during a 1- year period starting on or after January 1, 1999 were identified by ICD-9 code. The following codes were used for inclusion in the cur- rent study: 693.1 (dermatitis due to food ), 995.60 (allergy due to unspecified food ), and 995.61 to 995.69 (allergy due to . . . . . . Investigators for their ongoing dedication to emergency airway research. An electronic version of the Appendix can be found in the Jour- nals Online Repository. REFERENCES 1. Food Allergy and Anaphylaxis Network website. Available at: http://www.foodallergy.org/information/html . Accessed February 1, 2000. 2. Burks AW, Sampson HA. Anaphylaxis and food allergy. Clin Rev Aller- gy Immunol 1999;17:339-60. 3. Shimamoto SR, Bock SA. Update on the clinical features of food - induced anaphylaxis. Curr Opin Allergy Clin Immunol 2002;2:211-6. . . . . . . disease in a hospital emergency room: a retro- spective evaluation of one years experience. Allergy Proc 1995;16:247-50. 20. Sampson HA, Mendelson L, Rosen JP. Fatal and near-fatal anaphylactic reactions to food in children and adolescents. N Engl J Med 1992;327:380-4. Food and drug reactions and anaphylaxis . . . --3000,5,300,3162,38165
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