Table 1.

Proposals to improve the management of food allergies and emergency situations in adolescents (according to [37])

Necessary information	_Explain the basis of the diagnosis and the prognosis of a food allergy _Explain in particular the specific symptoms that should prompt the use of adrenaline _Go through the with the patient the symptoms he or she has experienced during anaphylaxis _Stress the importance of allergen avoidance _Explain which foods are safe and what is to be understood by declaration
Readiness in emergency situations	_Find out whether the patient carries an AAI and, if not, formulate suggestions on carrying the device in a concealed manner or depositing it safely _Make an AAI trainer available _Stress that, in the case of severe symptoms, the use of the AAI takes priority over the use of an antihistamine or visiting an outpatient department _Arrange regular follow-up appointments
Empowerment-based self-management	_Consider together with the adolescent whether it might be useful to involve friends in his or her allergy management _Inquire whether bullying due to the allergy is taking place _Offer consultations without the parents in order to discuss the patient’s interaction with his or her parents
Mode of interaction	_Maintain an open and impartial conversational style _Openly discuss the adolescent’s decision-making process when dealing with reactions or allergen avoidance

AAI, adrenaline autoinjector