Talk:Digital EpiPen injection
Overview
Epinephrine induced digital vasospasm using Phentolamine
Indications
For use when epinephrine is accidentally or inappropriately injected
Contraindications
Drug class allergy or non-ischemia.
Equipment Needed
10cc syringe, phentolamine, 1-2% lidocaine, 25g needle.
Procedure
Dilute 1.5mg of phentolamine mesilate in 1ml of 2% lidocaine. Inject subQ into the site and stop when tissue turns pink again. Observe and repeat as necessary.
References
<http://emj.bmj.com/content/21/3/387/> <http://emj.bmj.com/content/emermed/21/3/387/F1.large.jpg/>
