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Wilderness Environ Med. 2013 Dec;24(4):434-44. doi: 10.1016/j.wem.2013.03.025. Epub 2013 Sep 14.

Retrieval of additional epinephrine from auto-injectors.

Author information

1
Department of Emergency Medicine, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, NC. Electronic address: hawk@aya.yale.edu.

Abstract

Anaphylaxis 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.

KEYWORDS:

anaphylaxis; auto-injector; epinephrine; wilderness; wilderness medicine

PMID:
24041621
DOI:
10.1016/j.wem.2013.03.025
[Indexed for MEDLINE]
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