Retrieval of Additional Epinephrine From Auto-Injectors

被引:11
作者
Hawkins, Seth C. [1 ]
Weil, Carl [2 ]
Baty, Fred [3 ]
Fitzpatrick, David [4 ]
Rowell, Bryan [5 ]
机构
[1] Univ North Carolina Chapel Hill Sch Med, Dept Emergency Med, Chapel Hill, NC USA
[2] Wilderness Med Outfitters, Elizabeth, CO USA
[3] Roane State Community Coll, Harriman, TN USA
[4] Wilderness Med Ouffitters, Elizabeth, CO USA
[5] Roane State Community Coll, Harriman, TN USA
关键词
anaphylaxis; epinephrine; auto-injector; wilderness; wilderness medicine; RECOMMENDATIONS; ANAPHYLAXIS;
D O I
10.1016/j.wem.2013.03.025
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:434 / 444
页数:11
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