Introduction: Allergies and the occurrence of severe allergic reactions in school-age children are becoming more common, while schools aren't adequately prepared for this. Quick first steps and well-educated school staff are crucial to prevent anaphylactic shock and respiratory arrest. Purpose: We want to present the symptoms and signs of allergic reaction and anaphylactic shock, allergens, prevention and treatment, and the role of the teacher as a layman in primary schools. We want to show the right approach and first steps in allergic reaction and anaphylactic shock. Methods: A descriptive method was used to review foreign and domestic scientific and professional articles. Electronic sources were obtained from specialized databases, PubMed, ScienceDirect, Medline, Wiley Online Library, Cinahl, Cochrane Library and DiKUL portal. Slovenian literature was obtained from the COBISS + database. Results: With a critical review of the literature, we created an overview of the first steps in allergic reaction and anaphylactic shock, what is the right approach and the use of adrenaline. Recognizing the symptoms and signs of an allergic reaction and calling 112 are the first steps in an allergic reaction. In case of cessation of breathing, we have shown an overview of the basic resuscitation procedures in a child. In first aid, we treat teacher as a layman. Discussion and conclusion: Symptoms and signs of an allergic reaction or anaphylactic shock are often inadequately recognized. Due to lack of knowledge, teachers are insecure in taking the first steps and using adrenaline. It is important to take care of your own and the child's safety when approaching, call 112, remove the allergen and apply the adrenaline injector if the child has it with him. Depending on the course of the allergic reaction, the child is placed in a sitting or semi-sitting position, with the shocked child in a position for the shocked person in a supine position . In case of respiratory arrest, start with TPO. First aid also includes prevention, which includes regularly carrying an adrenaline self-injector with you and avoiding allergens. Teachers do not have enough knowledge about the implementation of the first steps in allergic reactions, but there is great interest in additional education.
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