A guest who told the server about a shellfish allergy begins to break out in hives, has facial swelling, and is wheezing minutes after the meal. What should the food handler or manager do FIRST?

a.Give the guest a glass of milk to neutralize the allergen
b.Wait 15 minutes to see if symptoms get worse
c.Bring the menu so the kitchen can check what was in the dish
d.Call 911 immediately and ask whether the guest carries an epinephrine auto-injector

Explanation

Hives, swelling and breathing trouble are signs of anaphylaxis, a life-threatening emergency. The first action is to call 911. Food workers should not give food or drink and generally should not administer the epinephrine themselves; they can hand the auto-injector to the guest or first responders. Ingredient review can happen after help is on the way.

Law Reference: FDA Food Code 3-501.16; first-aid guidance

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