• Wilderness Environ Med · Dec 2013

    Retrieval of additional epinephrine from auto-injectors.

    • Seth C Hawkins, Carl Weil, Fred Baty, David Fitzpatrick, and Bryan Rowell.
    • Department of Emergency Medicine, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, NC. Electronic address: hawk@aya.yale.edu.
    • Wilderness Environ Med. 2013 Dec 1;24(4):434-44.

    AbstractAnaphylaxis is a challenging condition for any austere environment. It is unpredictable, has sudden onset and a high fatality rate, and is responsive only to epinephrine, a prescription medication. The Wilderness Medical Society has formally recommended that non-medical providers working in austere environments be trained to administer epinephrine. Medical providers frequently prescribe auto-injectors for this purpose due to their ease of use by nonmedical providers. However, auto-injectors have limitations in the wilderness environment, particularly due to their single-dose (or at most 2-dose) design. This paper describes an austere environment technique for obtaining multiple additional doses of epinephrine from auto-injectors that have already been used as designed.Copyright © 2013 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

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