Tweeted by @AmazingAtopic
"Injectable Epinephrine: An Epidemic of Misuse"
Gary J. Stadtmauer
January 20, 2015
(I'm no longer linking to Medscape articles because the links show personal info)
problem among both healthcare professionals and patients
My partner in practice once had a patient in the emergency department for hours getting fluids for hypotension (blood pressure, 80/50 mm Hg), along with antihistamines and corticosteroids as anaphylaxis management. The patient was concerned and called my partner in the middle of the night. The treating emergency physician refused to give epinephrine and challenged my partner to come in if he wanted to manage the case—which he in fact did, and the patient promptly responded to a single intramuscular dose of 0.3 mg (1:1000) epinephrine.