Digital EpiPen injection
- Accidental digital self-injection of epinephrine from an EpiPen.
- Increased cap refill
- Observation for 2 hours after injection
- If continued ischemia symptoms after 2 hrs
- give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area
- "Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.