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What to Say in an Emergency

When Calling Emergency Services for Severe Reaction

Say exactly:

""I'm calling about my [age] child having a severe allergic reaction. They [can/cannot] breathe normally and have [describe symptoms: swelling, hives, vomiting]. I [have/don't have] given an EpiPen. The reaction started [time] minutes ago after [trigger: food, medication, sting]. We are at [your exact location/address].""

At the Emergency Room

Say exactly:

""My child is having an allergic reaction to [trigger]. Symptoms started [time] ago and include [list all symptoms]. I gave [medications/EpiPen] at [time]. They have known allergies to [list known allergies]. Here is their allergy action plan [if available].""

Step-by-Step Instructions

  • 1
    Assess the Severity Quickly
    • Look for signs of severe reaction: difficulty breathing, swelling of face/lips/tongue, widespread hives
    • Check if child is alert and responsive
    • Note what they were exposed to (food, medication, insect sting, etc.)
    • If severe symptoms are present, act immediately - don't wait to see if it gets worse
    • Remove or stop exposure to the allergen if possible
  • 2
    For Severe Reactions (Anaphylaxis)
    • Use EpiPen/auto-injector immediately if available (inject into outer thigh)
    • Call 911 immediately - even if EpiPen helps, emergency care is still needed
    • Have child lie down with legs elevated (unless breathing is difficult)
    • Loosen tight clothing around neck and waist
    • Be prepared to give second EpiPen dose if symptoms return or worsen
    • Start CPR if child becomes unconscious and stops breathing
  • 3
    For Mild to Moderate Reactions
    • Give antihistamine (Benadryl/diphenhydramine) according to package directions
    • Remove or wash off allergen if it's on skin
    • Apply cool, wet cloths to itchy areas
    • Watch closely for worsening symptoms
    • Contact pediatrician or seek medical care if symptoms don't improve
    • Be ready to use EpiPen if symptoms worsen
  • 4
    Monitor and Document
    • Stay with child and monitor breathing and consciousness
    • Note time symptoms started and what triggered the reaction
    • Record all medications given and times
    • Take photos of rash/hives if safe to do so (helpful for doctors)
    • Watch for biphasic reaction (symptoms returning 4-12 hours later)
    • Keep child calm and reassured
  • 5
    Follow-Up Care
    • Even after mild reactions, contact pediatrician within 24 hours
    • After severe reactions, follow up with allergist within 1-2 weeks
    • Review and update allergy action plan
    • Ensure all caregivers know about the reaction and response plan
    • Consider medical alert bracelet if not already wearing one

Watch for Signs

Monitor your child for these symptoms:

🚩 Severe Reaction - Use EpiPen & Call 911

  • Difficulty breathing or wheezing
  • Swelling of face, lips, tongue, or throat
  • Rapid pulse or dizziness
  • Severe whole-body rash or hives
  • Nausea, vomiting, or diarrhea with other symptoms
  • Feeling of impending doom
  • Loss of consciousness
  • Severe drop in blood pressure
  • Pale or blue skin color

💚 Mild to Moderate Reaction

  • Localized hives or rash
  • Mild itching or skin irritation
  • Runny nose or sneezing
  • Mild stomach upset
  • Slight swelling at sting site
  • Mild skin redness
  • Normal breathing and alertness

FAQs (Common Parent Questions)

"How do I know when to use the EpiPen?"

Use the EpiPen for any severe reaction involving breathing difficulty, throat/face swelling, severe whole-body hives, or rapid pulse with dizziness. When in doubt, use it - the risks of not using it are greater than using it unnecessarily.

"Can I give Benadryl instead of using the EpiPen?"

No, never substitute Benadryl for EpiPen in severe reactions. Benadryl works too slowly for anaphylaxis. Use the EpiPen first, then give Benadryl as directed by emergency responders.

"Do we still need to go to the hospital if the EpiPen worked?"

Yes, always go to the emergency room after using an EpiPen. The effects wear off in 15-20 minutes, and symptoms can return. You may need additional treatment and monitoring.

"How long should I watch for symptoms after exposure?"

Most reactions occur within minutes to 2 hours of exposure. However, biphasic reactions can occur 4-12 hours later. Watch closely for at least 4-6 hours, and seek immediate care if any symptoms return.

"What if my child has never had an allergic reaction before?"

First reactions can happen at any time, even to foods or substances they've had before. Take any concerning symptoms seriously and don't assume it's not an allergy just because it's the first time.

Real Parent Tips

Real Parent Experiences

"We practiced using the EpiPen trainer with our whole family. When my daughter had anaphylaxis to peanuts, even my 8-year-old knew what to do."

— Jennifer M., Ottawa

"Always carry two EpiPens - one failed to work properly and we needed the backup. The paramedic said this happens sometimes."

— David S., Montreal

"I took pictures of the hives on my phone before they faded. The allergist said it really helped with diagnosis and treatment planning."

— Priya K., Vancouver
This guide is intended for quick reference and does not replace professional medical advice. Always consult a medical professional if uncertain.