First Aid for Allergic Reactions and Anaphylaxis

  • 4 min reading time

Allergic reactions range from mild symptoms to life-threatening emergencies. Anaphylaxis is a severe allergic reaction that can develop rapidly and requires urgent action.

This guide explains how allergic reactions and anaphylaxis are approached in UK first aid, what signs to look for, and how responsibilities apply in homes, schools, workplaces and public settings.

The information is written as general first aid guidance and does not replace medical advice or emergency care.

What is an allergic reaction?

An allergic reaction occurs when the immune system responds abnormally to a substance that is usually harmless.

Common allergens include:

  • Foods such as nuts, shellfish or dairy
  • Insect stings
  • Medicines
  • Latex

Reactions can vary from mild to severe, and symptoms may develop quickly or gradually.

What is anaphylaxis?

Anaphylaxis is a severe, potentially life-threatening allergic reaction.

It usually involves multiple body systems and can worsen rapidly without treatment.

Anaphylaxis is a medical emergency and requires immediate action.

Signs of a mild or moderate allergic reaction

Mild or moderate reactions may include:

  • Itchy skin or hives
  • Swelling of lips, face or eyes
  • Stomach pain, nausea or vomiting
  • Sneezing or a runny nose

Symptoms may remain mild, but they can also progress.

Signs of anaphylaxis (medical emergency)

Anaphylaxis may involve one or more of the following:

  • Difficulty breathing or noisy breathing
  • Swelling of the tongue or throat
  • Feeling faint, dizzy or collapsing
  • Sudden drop in blood pressure
  • Loss of consciousness

If anaphylaxis is suspected, emergency services must be contacted immediately.

When to call 999

You should call 999 immediately if:

  • Anaphylaxis is suspected
  • Breathing becomes difficult
  • The person collapses or becomes unresponsive
  • Symptoms worsen rapidly

Do not delay emergency help while monitoring symptoms.

Use of adrenaline auto-injectors

Some people at risk of anaphylaxis carry an adrenaline auto-injector.

In first aid situations:

  • The person should use their own prescribed auto-injector if able
  • Assistance may be given if trained or instructed
  • Emergency services must still be called

Adrenaline is a first-line emergency treatment, but it does not replace hospital care.

First aid considerations in workplaces and public places

Organisations should consider allergic risks within their environments.

This may include:

  • Food handling or catering activities
  • Public-facing environments
  • Schools, childcare and care settings
  • Events and shared workspaces

Risk-based planning is explained in Workplace First Aid Risk Assessment (UK).

Allergies and first aid provision by environment

Environment Typical allergy risk First aid considerations
Home Known personal allergies Awareness of symptoms, emergency response
School or childcare Food and medication allergies Clear plans, staff awareness
Workplace Variable Risk assessment, trained response
Public events Mixed and unknown Clear emergency access, first aid points

Allergies, first aid kits and equipment

Standard first aid kits do not treat anaphylaxis.

However, they support:

  • Basic care while awaiting emergency services
  • Management of associated symptoms such as minor wounds

First aid kits should be accessible, but emergency response relies on prompt action and professional care.

Recording allergic incidents

Where allergic reactions occur, incidents should be recorded.

Records help organisations:

  • Identify recurring risks
  • Review first aid arrangements
  • Demonstrate reasonable management

Guidance on records is explained in Accident Reporting & First Aid Records (UK).

Common myths about allergic reactions

  • Anaphylaxis always involves skin symptoms
  • Adrenaline removes the need for hospital care
  • Only food causes severe reactions
  • Mild symptoms cannot become serious

Allergic reactions can escalate quickly and should be taken seriously.

Why awareness matters

Prompt recognition and action save lives.

Clear procedures, staff awareness and risk-based planning support safer environments for people with allergies.

Allergic Reactions & Anaphylaxis — FAQ

Is anaphylaxis the same as a mild allergic reaction?
No. Anaphylaxis is a severe, life-threatening reaction.
Should 999 always be called for anaphylaxis?
Yes. Anaphylaxis requires emergency medical care.
Can first aid kits treat anaphylaxis?
No. Emergency services and prescribed medication are required.
Are workplaces responsible for allergic reactions?
They must consider foreseeable risks and respond appropriately.
Should allergic incidents be recorded?
Yes. Recording supports review and risk management.

 


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