Table 2

Severity grading of worst reaction before referral

Reaction gradeClinical features
‘/’ = and/or.
1. MildLocalised cutaneous erythema/urticaria/angioedema/oral pruritus
2. MildGeneralised erythema/urticaria/angioedema
3. MildAt least 1 or 2 plus gastrointestinal symptoms/rhinoconjunctivitis
4. ModerateMild laryngeal oedema (voice change/tightening of throat)/mild asthma
5. SevereMarked dyspnoea/hypotensive symptoms (collapse/loss of consciousness)