Delayed Epinephrine Administration During Snack

A childcare centre experienced an allergic reaction during snack time when a child with a known allergy developed coughing and hives. Staff initially monitored symptoms rather than administering epinephrine. Symptoms escalated, requiring emergency intervention. The review found uncertainty about symptom thresholds and hesitation to act. Procedures were updated to reinforce immediate epinephrine use and refresher training was provided. The incident highlighted how hesitation increases risk during allergic emergencies.