Digital EpiPen injection
- Accidental digital self-injection of epinephrine from an EpiPen.
- Puncture wound with delayed capillary refill (vasoconstriction)
- Typically a clinical diagnosis (no testing required)
- Observation for 2 hours after injection
- If continued ischemia symptoms after 2 hrs
- "Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.