A Brief Discussion of Epinephrine Options for Outdoor Programs
نویسندگان
چکیده
An intramuscular injection of epinephrine combined with an oral antihistamine is the treatment of choice for life-threatening anaphylactic reactions that occur in remote settings. Legal issues aside, the purpose of this brief article is to review the options available to outdoor programs who wish to carry epinephrine into the field. There are currently four options available; all have been used successfully; all have their advantages and disadvantages. 1. Commercial auto-injectors. 2. Ampules and syringe. 3. Vials and syringe. 4. Pre-filled syringes. The option you end up with will be influenced by your state laws, the personal bias of your physician advisor, your ability to provide effective and on-going training, and your budget. Regardless of which option you choose, I highly recommend quarterly training for all trip leaders and a brief pre-trip review of your administration protocols.
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