Digital EpiPen injection
Revision as of 07:12, 12 March 2017 by Rossdonaldson1 (talk | contribs)
Background
- Accidental digital self-injection of epinephrine from an EpiPen.
Clinical Features
- Puncture wound with delayed capillary refill (vasoconstriction)
Differential Diagnosis
Evaluation
- Typically a clinical diagnosis (no testing required)
Treatment
- Observation for 2 hours after injection[1]
- If continued ischemia symptoms after 2 hrs
- give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area
Disposition
- Outpatient
See Also
References
- ↑ "Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.