Digital EpiPen injection

Background

Accidental digital self-injection of epinephrine from an EpiPen.

Diagnosis

Clinical

Work-Up

None

Treatment

  1. Observation for 2 hours after injection
  2. If continued ischemia sx after 2 hrs
    1. give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area

Disposition

Home

See Also

Tox: Epinephrine

Source

"Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.