Patient name	____________________
Staff member name	___________________________________
Caller mother/father/patient/other	___________________________________
(Please specify)
Time of call (24 h)	_ _: _ h
Patient location	___________________________________
Food suspected	___________________________________
How much eaten?	___________________________________
Time since ingestion	___________________________________
Asthma y/n	___________________________________
Current condition	Advice to be given
Rash only	Give antihistamine, do not use anapen yet
Rash and swelling	Give antihistamine, do not use anapen yet
Cough/hoarseness	Use anapen, call ambulance, go to hospital
Wheeze	Use anapen, call ambulance, go to hospital
Dizzy/collapse	Use anapen, call ambulance, go to hospital
Outcome (to be completed by study team in Cork, as soon as possible next working day)