How to position a person having anaphylaxis

ASCIA Action Plans for Anaphylaxis include the following infographics that show the correct and incorrect positioning of a person having a severe allergic reaction (anaphylaxis).

LAY PERSON FLAT - do NOT allow them to stand or walk

If unconscious or pregnant, place in recovery position - on left side if pregnant
If breathing is difficult allow them to sit with legs outstretched
Hold young children flat, not upright If unconscious, place in recovery position
The person should NOT stand, walk, or be held upright, even if they appear to have recovered.

When a person has anaphylaxis their blood pressure can drop rapidly, which reduces blood flow to the heart:

Laying the person flat will increase blood pressure and help blood flow to the heart.
Standing or walking can make anaphylaxis worse by causing blood pressure to drop rapidly which reduces blood flow to the heart.

How to position a person when adrenaline is given

When an adrenaline (epinephrine) injector device is being given (or self-administered) the person having anaphylaxis should be laying flat, in the recovery position or sitting with their legs outstretched. They should remain in this position (not standing or walking) after the device has been given, until they have fully recovered.

Instructions on how to use adrenaline devices is available at https://www.allergy.org.au/hp/anaphylaxis/how-to-give-injector