
Children are curious, energetic, and sometimes unpredictable—especially when it comes to allergies, #asthma, and anaphylaxis. For childcare providers, understanding these conditions isn’t optional—it’s essential. This article will help you spot the signs, stay ready, and keep every child #safe and breathing easily.
Allergies occur when a child’s immune system reacts to something (the allergen) that is normally harmless—foods, dust, pollen, animals, etc. Reactions can range from mild itchiness or sneezing to more serious symptoms.
Asthma is a chronic lung condition where airways become inflamed, narrow, and overproduce mucus, making breathing harder. Triggers can include allergens, cold air, exercise, viral infections, smoke, and more.
Anaphylaxis is a severe, life-threatening allergic reaction that can affect multiple body systems. It can happen very fast and requires immediate treatment, usually epinephrine.
Knowing the differences matters, because what you do in response changes depending on whether it’s a mild allergy flare-up, an asthma attack, or full-blown anaphylaxis.
Sometimes children, especially #toddlers or infants, can’t tell you what they feel. That’s why observing breathing, behavior, skin changes, and prompt communication with #parents/caregivers is so important.
Written plans for each child: Allergy & Asthma Action Plans, an Anaphylaxis Emergency Plan are essential. See documents from the ChildCareEd guide for #all-ages. You can use the resource: Guide for Allergies and Asthma in Childcare (All Ages) ChildCare Education
Medication readiness: Know where a child’s inhaler, spacer, epinephrine auto-injector are, how to use them, and ensure they are unexpired.
Staff training: Make sure all providers are trained not only in first aid/CPR but also in recognizing and responding to asthma, allergy, and anaphylaxis emergencies. AIDCpr.com offers two courses: our First Aid & CPR Blended Course and our hands-on First Aid and CPR Course.
Trigger control: Reduce exposure to known allergens (foods, insect stings, latex, etc.). Maintain clean environments to reduce dust, mold, pet dander. Monitor #outdoor air quality when doing field activities if asthma is a concern.
Emergency protocols: Establish when to call 911, when to administer epinephrine, and ensure rescue meds are accessible. Practice drills help.
Recognize warning signs #early (see table above).
For asthma attack: Help the child use their quick-relief inhaler (often with a spacer). Ensure a calm, upright position, loosen tight clothing, stay with them. If they don’t improve or if danger signs appear, call EMS.
For anaphylaxis: Give epinephrine immediately—even if you’re unsure—and then call #emergency services. Lying the child down with legs raised (unless breathing is compromised) can help. Monitor until help arrives.
After the incident: Notify parents/guardians immediately, document what happened (when symptoms began, what treatment was given, response), review what went well and what could improve.
Keep updated copies of each child’s action plans, medical history, contact info.
Regularly clean surfaces, wash hands, avoid sharing personal items, especially food or drink.
Identify and remove allergen sources in snacks, #classroom-activities, arts & #crafts.
Ensure ventilation is good and avoid smokers or pollutants in/near the facility.
Re-train #staff periodically. Make sure new staff or substitutes are oriented.
Allergies and asthma are very common among young children. Some children may have severe allergies or asthma but haven’t had an attack yet.
Anaphylaxis can be life-threatening, but prompt recognition and treatment greatly reduce risk of serious harm. Delays or missteps (e.g. using antihistamines instead of epinephrine first) are risky.
For children, an asthma attack left untreated can escalate quickly. For childcare providers, being calm and prepared can make a big difference in outcomes and parental trust.
Consider enrolling in AIDCpr.com’s First Aid & CPR Blended Course if you want flexible training that combines online & in-person.
Or choose the hands-on First Aid and CPR Course to build skills through direct instruction.
Use the ChildCareEd Guide for Allergies & Asthma as a checklist and framework in your facility.
For more guidance on recognizing early respiratory distress, check out the article: “Breathe Easy: How to Spot Early Signs of Respiratory Distress in Children”
If this article helped, please follow AIDCpr.com on social media for more lifesaving tips, courses, articles, and resources specifically for childcare providers. Together, we can help every child breathe easier and stay #safer.