Allergy & Asthma Network Mothers of Asthmatics (AANMA)


Missouri has a law in place for using epinephrine in emergency situations.

Allows school nurses to keep on hand and administer prefilled syringes of epinephrine to any student who the nurse believes is having an anaphylactic reaction

Congratulations!  Your state has passed stock-epinephrine laws or regulations that permit an emergency supply of epinephrine auto-injectors to be used in a school. However, our job is not done yet. Each law or regulation must be implemented or put into action by a board or an agency.

The agency or board will then issue administrative rules, guidelines or best practices explaining in detail how it intends to put the law into effect and what a mother, father, caregiver, physician, pharmacist or school nurse must do to comply with the law. AANMA is an active resource in these states assisting administrators in a seamless rollout of the stock-epinephrine laws.


ACE Team:

Ray Davis, MD of Allergy Consultants
St. Louis, MO

Lila Kertz, MSN, RN, CPNP of Washington University in St. Louis, Department of Pediatrics
St. Louis, MO

Maleewan Kitcharoensakkul, MD of Washington University School of Medicine, Department of Pediatrics, Division of Rheumatology
St. Louis, MO

Deborah Scales, RN of St. Justin the Martyr Catholic School
St. Louis, MO

Manoj Warrier, MD of Allergy, Asthma & Sinus Care Center
St. Louis, MO

Sample ACE Team Activity:

Dr. Davis delivered an ACE web conference titled, “What Every EMT Should Know About Anaphylaxis: The Updated Guidelines” to 50 EMTs from firehouses in St. Louis, MO.  As a result of the presentation the entire West St. Louis County Ambulance Bureau changed their policy from mandatory subcutaneous epinephrine to IM epinephrine.

Questions about state legislation, ACE activities or getting involved?





About Anaphylaxis Community Experts (ACEs):
Anaphylaxis Community Experts is a national, award-winning education, advocacy and outreach partnership program developed and hosted by AANMA and the American College of Allergy, Asthma & Immunology, sponsored by Mylan Specialty, LP.



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