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Allergy Today: New ASCIA Anaphylaxis Action Plans for 2021

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Australasian Society of Clinical Immunology and Allergy (ASCIA) Anaphylaxis Action Plans are a mainstay for those living with severe allergies, including to food and bee/wasp venom allergies.

They have recently been reviewed and updated, with the main change being the number of positioning images, which has increased from three to five:

  • The images show the recovery position and holding a young child flat, not upright.

  • Wording above the images has also been expanded to provide more detailed explanations.

Other changes that have been made in response to requests by several reviewers are:

  • The wording ‘- these are signs of anaphylaxis for insect allergy’ after ‘abdominal pain, vomiting’ has been highlighted in bold.

  • ‘Give other medications (if prescribed)’ has been changed to ‘Give antihistamines (if prescribed)’.

  • In the left column, the space for ‘confirmed allergens’ has been expanded. The wording has been updated in the family/emergency contact, authorisation/consent and review sections, and the adrenaline doses have been reordered to start with the lowest dose of 150mg.

ASCIA Action Plans do not expire, and provision for a recommended review date has been added as a guide for patients to see their doctor. ASCIA Action Plans prior to the 2018 version should no longer be used.
The Red EpiPen® plan can be seen in the link below. However, ASCIA stress this is a medical document and can only be filled in and signed by the patient’s doctor or nurse practitioner.

ASCIA_Action_Plan_Anaphylaxis_Red_EpiPen_2021_WEB.pdf (
An FAQ on the plans is available here: Action Plans: Allergic Reactions FAQs - Australasian Society of Clinical Immunology and Allergy (ASCIA)

ASCIA Plan Screenshot AM-216

16 July 2021
Allergy Today