Implicit in epinephrine autoinjector prescriptions is that physicians and pharmacists are confident that the patient or a relative can adequately use the device, and that the patient is aware of the potential dangers of incorrect administration. Required fields are marked *. This may cause the real yellow EpiPen or real green EpiPen Jr auto-injector to accidentally activate. It says it expired in 2007. This article is published under license to BioMed Central Ltd. 'HELP US!!' The boy complained of pain, numbness, and tingling. 12/13/17 AT 5:36 PM EST. What happens if you stick yourself with an EpiPen accidentally? If you continue to use this site we will assume that you are happy with it. Understandably, epinephrine will have a great effect on a small child than a grown adult and this can be scary. It will also reduce swelling of the face and respiratory system. There might even be a bit of a dark spot from the graphite underneath the skin. 2005, 115: 1800-1801. Even little electric shocks traumatize and cause discomfort in the body. We, Yahoo, are part of the Yahoo family of brands. If you did not hear a click, that person may not have received any medication. Plast Reconstr Surg. What happens if you give yourself epinephrine? Chris May's son and fellow students at . Rinse and wash the area well with running water and soap. After injecting an EpiPen, hearing a click lets you know it worked. What should I do if I use my EpiPen on accident? :). Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Even if you do inject yourself, youll still need to get to an emergency room. Manage cookies/Do not sell my data we use in the preference centre. Accidentally injecting EpiPen into your hands or feet may result in a loss of blood flow to those areas, and resulting numbness. Of course, that was until I accidentally stabbed myself in the thumb with an Epipen needle. In the emergency room, his thumb was cold and pale. spstarke. It can be administered while wearing pants. Seek immediate medical attention in the case of an accidental injection. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. If you do not want us and our partners to use cookies and personal data for these additional purposes, click 'Reject all'. The effects of epinephrine may wear off after 10 or 20 minutes. Clean any accidental sticks right away. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. You should seek emergency medical help immediately you use the injection. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. What happens if you inject an EpiPen by accident? PubMed The content you are trying to access is intended for healthcare professionals only. The Bottom Line. When I went to grab it to throw it out it opened and stabbed me in my palm right under my thumb. Analytical cookies are used to understand how visitors interact with the website. message spotted in SoCal snow as some grow desperate, Weekend winner, with the exception of some problematic pollen, Moose charges snowmobiler in Idaho: VIDEO. 6 What happens if you use an EpiPen and dont go to the hospital? Over the years, I've gotten a lot better at wielding an EpiPen. Case Series: A care provider accidentally administers an Epipen containing 300ug to thier own thumb/ digit whilst trying to figure out how to administer to a patient. How to Market Your Business with Webinars. The most common injury related to self-injection is pain at the injection site. Never reuse needles/syringes that have been used for injecting insulin or other medications. When I stabbed my thigh with the black tip one I guess I got the colors mixed up and thought the black tipped pen was the practice one. Thanks for reading! The cookie is used to store the user consent for the cookies in the category "Performance". The next day I took the used epipen and the unused one to my pharmacy to have them disposed of properly because I didnt want anyone getting hurt from me just throwing them in the garbage. If you are unsure when would be appropriate time to administer your EpiPen, please contact your allergist or the EpiPen prescriber. Fitzcharles-Bowe C, Denkler K, Lalonde D: Finger injection with high-dose (1:1,000) epinephrine: does it cause finger necrosis and should it be treated?. This however, is the worst-case scenario. In preparation for this article, I tried to find data on the amount of Americans who currently have EpiPens a medical device used to self-inject an emergency dose of epinephrine to treat life-threatening allergic reactions, known as anaphylaxis and the closest number I could find was in a 2016 Wall Street Journal article that estimated prescriptions to be around 3.6 million nationwide. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. The book states that: "Ink: ball-point pens, felt-tip pens, and fountain pens contain so little ink that there is not enough to cause poisoning if it is sucked from a pen. There will always be the chance of unknowingly scarfing down pecan-laced strawberry pie at a family gathering (stab No. He's a bit younger than you so perhaps they weren't always that way. For example, wear protective clothing when giving injections, use a sharps container to dispose of needles, and learn how to recognize signs of allergy attack (breathing problems, swelling of the face). Although hand sanitizer has been shown to be effective in killing germs, its usage might have unintended consequences. 1999, 1: 34-36. CM, PS and BF have made substantial contributions to conception, design, writing the manuscript and literature review. Do you have to go to the hospital if you use an EpiPen? In preparation for this article, I tried to find data on the amount of Americans who currently have EpiPens a medical device used to self-inject an emergency dose of epinephrine to treat life . Stier PA, Bogner MP, Webster K, Leikin JB, Burda A: Use of subcutaneous terbutaline to reverse peripheral ischemia. Whether you are new to food allergies and want to get to know our products, or you need help with a lifestyle change, for new ideas to . Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. My son, 10 yrs. It does not store any personal data. A Florida woman woke her sister up by drunkenly stabbing her with an EpiPen Thursday night, then explained to police that she's "allergic to drunks," WBBH reports. A 31-year-old physician in a Family Practice training program at an academic primary care center was handling an Epipen because he wanted to be familiar with it before prescribing it. By clicking Accept All, you consent to the use of ALL the cookies. CAS You also have the option to opt-out of these cookies. Should I go to the hospital if I stabbed my hand? We think a regimen of treatment should be available to treat accidental epinephrine injection. In order for epinephrine to work properly, it must be injected into the thigh muscle. Anyone who unintentionally injects himself or herself with insulin could experience hypoglycemia (low blood sugar) symptoms such as nervousness, shakiness, headache, and fatigue. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. Because epinephrine has a powerful effect of making blood vessels contract, your finger may be at risk of not getting sufficient blood flow to survive. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Your injection can be a reason for concern if injected in the hands, feet, or digits. What to do if you accidentally stab yourself in the hand? If epinephrine is injected into small areas such as fingers and hands by mistake, blood vessels will constrict at the site of injection. It's painful so I cant type that much. You should always be checked out at the ER after using your EpiPen. Hypoglycemic episodes are most likely to occur between two and four hours after injecting insulin. Find out more about how we use your personal data in our privacy policy and cookie policy. Use them safely to prevent finger sticks. I think that the tester should be much more clearly marked, we had someone at work who was trying to show us how to help her in case of emergency and she accidentally used the tester and accidentally injected herself with the live pen. 2 What common mistake can happen when using an EpiPen? I accidentally injected myself today in the thumb while administering to an adolescent who had shock after school at an event. If you accidentally stab the tip in your buttocks, the medication dosage will be less effective. The most common problems were 1) not holding the auto-injector in place long enough; 2) pressing the wrong end into the thigh; and 3) using too little force to inject into the thigh. Or confusing the red-colored granola bar wrapper (chocolate) and the orange-colored one (peanut butter) during a chaotic morning (stab No. Here are a few tips I recommend based on the storage instructions. Sorry there was an error savinig your comment. Talk with your doctor about how you can best control symptoms of your illness. use an adrenaline auto-injector if the person has one - but make sure you know how to use it correctly first; call 999 for an ambulance immediately (even if they start to feel better) - mention that you think the person has anaphylaxis The child is fine now, but questions remain how this troubling incident could have happened. Here are a few tips I recommend based on the storage instructions. The tester should look altogether different from the actual pen with a vivid color or other markings. The students were thought to be given trainer versions of the EpiPens without any of the actual drug inside, but there was a mix-up in the case of May's son, WCVB reports. I first got my epipen back in 2006 and it was the same ones that I had at my house. (I may earn a small commission on the products linked to in this post.). What happens if you inject an EpiPen without needing it? Troy Madsen settles your childhood fears about pencil-related injuries. From recent research I came to the conclusion to soak my thigh in warm water. An unintentional injection into the hands or feet might reduce blood supply to these tissues, potentially resulting in tissue death. Lock up your EpiPen in a safe location, so it is not available to children or others who might misuse it. Fresh, clean water is best if there is no saline on-hand. We report a physician who accidentally injected epinephrine into his thumb while handling an autoinjector, and the results of reviewing the literature. What happens if you use an EpiPen and dont go to the hospital? So I grabbed it, popped the lid off, and stabbed my outer thigh. However, the surgery proved it was Jackson after Cristina messed up. I used my first EpiPen at the age of 7, after eating chocolate cake at a restaurant, sliced with the same knife used on a walnut cake. However, I was still feeling very energized. What happens if you stab someone with an EpiPen? But opting out of some of these cookies may affect your browsing experience. It's gone a kind of pale bluish white colour, feels quite numb and cold. Yang ended up being a liability because she didn't take the time to think. CJEM. Ive carried it around for years, just in case something were to happen. I pulled the pen away right after injecting the medicine. Doctors say that you should never wear clothes that conduct electricity because it's like wearing a fuse box under your shirt. But opting out of some of these cookies may affect your browsing experience. How long does it take for epinephrine to wear off? In the case of a deep cut to the palm, the ulnar nerve may be injured and result in paralysis of the intrinsic muscles to the hand. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. Help. Access to medical databases through new technologies is essential. These cookies track visitors across websites and collect information to provide customized ads. Answer (1 of 4): I just saw your comment that you stabbed yourself in the finger. then get accidentally stabbed with it. He accidentally discharged the contents of the spring-loaded syringe into his thumb; and the needle was twisted into the distal tip of his finger. Why did a physician put his thumb over the EpiPen? Dispose of any used needles/syringes in a safe manner. PubMed Only once with the lancet, but more than a couple of times with the syringe after a shot--just the other day I dropped a loaded syringe as I took it out of the vial and it hit me in the thigh on the way down stung like a ***** but no ill effects. Your automatic instinct is to flinch or hold back to spare yourself the pain. Mix of 1 tablespoon (14.8 ml) of salt to 1 cup of warm water. We also use third-party cookies that help us analyze and understand how you use this website. Research shows that parents who receivehands-on training are better able to properly demonstrate how to use their childs epinephrine shot[4]. Many people don't realize that after using the pen, you still must call 911 and get emergency medical attention, just in case you need back-up treatment. What happens if you accidentally inject epinephrine into your thumb? Follow the instructions to remove the safety cap (s). Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com, Dust Mite Allergy And Chronic Cough (My Throat Was Irritated), Is Vaseline Good For Eczema (When To Use And Avoid). Sellens C, Morrison L: Accidental injection of epinephrine by a child: a unique approach to treatment. What happens if you inject yourself with an EpiPen in your arm? 2. In rare cases, this might result in a serious injury. However, sometimes the symptoms get better and then start again a few hours later. I decided to try the practice one I knew was in the case. Young people are also more likely to have their fingers near the injection site when they use drugs intramuscularly (in their muscles). Its always better for someone to help monitor your behavior and call for help if needed. No need to use antiseptics or disinfectants. Cookies policy. Seek emergency medical treatment if this occurs. While injecting the epinephrine, count to ten. It does not store any personal data. Feels kind of sore where the stab wound is. Article The Epi Pen on the other hand has a sort of truncated flat ORANGE cone at the needle end, while the safety catch is the BLUE end. Press J to jump to the feed. The only way to prevent hypoglycemia is by avoiding injections into damaged skin, using a sterile needle, syringe, and vial every time you dose your insulin. Figure B. This however, is the worst-case scenario. In conclusion, epinephrine can be given through clothes but only if you know what you're doing. Keep your hand and fingers away from the needle end. Social distancing is a new concept for all of us and as hard as it is for adults to adopt, getting children to understand and cooperate with our new normal is super challenging. The boy, who has no allergies, was put on an EKG after he began experiencing a rapid heart rate. Correspondence to Once injected epinephrine will: Enhance your breathing, quicken your heart, and raise blood pressure. Many people don't realize that after using the pen, you still must call 911 and get emergency medical attention, just in case you need back-up treatment. Summary: Epinephrine autoinjectors can be life-saving for patients experiencing anaphylaxis a life-threatening emergency but according to a new case series, the most commonly used autoinjector appears to be contributing to injuries in children. 4 What happens if you stab a nerve in your hand? Then I suddenly registered that - wait a second - that doesn't look right. This cookie is set by GDPR Cookie Consent plugin. Delayed capillary refill of the left thumb after accidental injection of epinephrine. What happens to atoms during chemical reaction? Formal training should be provided to all health professionals who prescribe or issue epinephrine autoinjectors. Philippe Staeger. People who accidentally shoot themselves in the leg will usually be able to walk away from it. My brother did something similar in middle school cause for some reason he though my epipen was the case for the thermometer. 1992, 10: 496-10.1016/0736-4679(92)90285-2. Theyre used via a stab to the thigh, so that the drugs can get to work ASAP. Use a sterile material to dry the wound and immediately cover the wound with a waterproof plaster or dressing. But holding it for 10 seconds is appropriate in all cases, and it may easier to remember.) Not much medicine if any got into his leg. You may also consider using EpiPen while you are pregnant or breastfeeding. Why you should go to the emergency room after using the EpiPen. If youre at home, a friends house, or at a party, make sure you tell someone that youve injected yourself with an Epipen. What are various methods available for deploying a Windows application? 1 What happens if you stab your finger with an EpiPen? This however, is the worst-case scenario. The greatest risk of an accidental or an incorrect injection is that injecting the epinephrine elsewhere can delay or impair the effectiveness during a time-critical emergency. For children and adults who experience anaphylaxis, an epinephrine shot is a matter of life or death. Google Scholar. pain and swelling at the injection site. Thankfully I havent had to use it Ive practiced a lot though. McGovern SJ: Treatment of accidental digital injection of adrenaline from an auto-injector device. CAS Keep the wound clean and dry. But what if you think you need it and you really dont. 2 What common mistake can happen when using an EpiPen? This can reduce blood flow to the area. If you accidentally stab the tip in your buttocks, the medication dosage will be less effective. The sharp sting will hurt but lasts less than 10 seconds. Teaching your child about social distancing. A 31-year-old physician in a Family Practice training program at an academic primary care center was handling an Epipen because he wanted to be familiar with it before prescribing it. Learn how we can help. 10.1001/archfami.3.2.193. 2007, 18: 448-452. Self-administrated shots of epinephrine (often referred to by the brand name EpiPen or epinephrine pen) are life-saving devices which can halt an allergic reaction and give a patient time to get to a hospital. Accidental injection symptoms are typically mild and may include transient numbness or tingling. It does not store any personal data. Call them and ask before you go down there. If your Epipen was used by you or a family member on accident make sure its stored in the correct place. No do not worry: Nothing will happen, just your heart may start beating faster for few minutes and than back to normal. Hopefully, you can remain calm, notify people in the immediate vicinity, and seek medical advice quickly. If your heart is weak and you get a big enough flood of natural adrenaline, you can faint, or get a heart arrhythmia, a heart attack, or a stroke. Unintentional injection of epinephrine can easily occur when handling epinephrine auto-injectors. Isn't the practice pen visually quite different? What are the physical state of oxygen at room temperature? Talk to your health provider to see if Neocate is right for you. He developed swelling, pallor, and pain in the thumb. My son's have always been. A regimen of management of accidental epinephrine injection emphasizing the use of phentolamine should be instigated. This cookie is set by GDPR Cookie Consent plugin. By clicking Accept All, you consent to the use of ALL the cookies. However, you may visit "Cookie Settings" to provide a controlled consent. You might think that would never happen, but it happens all the time and some people use their Epi a lot! If you alone call your local doctors office or allergist its never a bad idea to let them know the mistake. 10.1111/j.1399-3038.2007.00529.x. So I grabbed the Epi-pen from him and took a closer look. We use cookies to ensure that we give you the best experience on our website. Arch Fam Med. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. If left untreated, low blood glucose levels may lead to seizure or coma. 4 What are the symptoms of an accidental epinephrine injection? The intravenous alpha-blocker phentolamine was not prescribed. How many of you carry epinephrine auto-injectors for your children? In the event of accidental injection, you should always seek medical attention. The cookie is used to store the user consent for the cookies in the category "Performance". But if you do this article can help make sure you know what to do. Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Always call 911 or go to the emergency room after using your EpiPen. What happens if you accidentally take an EpiPen? If you don't follow correct procedure, you could end up hurting the person who needs the medication. Winter, Spring, Summer, or Fall: Does Season of Birth Affect the Risk for Developing Allergies? I only received a third of a junior dose. EpiPen or EpiPen Jr should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Dr. Hansen has worked in hospitals for over 20 years and is a highly respected surgeon. If the finger is looking white, this would warrant going to an . For instance if you were to stab yourself with a pencil, to prick yourself on a pin, or to fall onto a fork (I could do this all day) then the resultant wound would be a puncture. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. Necessary cookies are absolutely essential for the website to function properly. Hand X-ray did not show a fracture of the distal phalanx. Accidental injection, usually involving a finger, is a potential complication. In this article, Ill share what to do if youve used an Epipen without needing it. Kaspersen J, Vedsted P: [Accidental injection of adrenaline in a finger with EpiPen]. You can change your choices at any time by clicking on the 'Privacy dashboard' links on our sites and apps. 2001, 108: 114-124. This however, is the worst-case scenario. wash the wound using running water and plenty of soap. Do not inject into your veins, buttocks, fingers, toes, hands or feet. Copyright 2020 - 2023 Stamina Comfort Inc. What happens if you take an EpiPen without needing it? J Emerg Med. Ive broken out in hives a few times and Ive wondered if I needed to use my Epipen. You might feel anxious. What happens if I use an EpiPen and dont need it? What if I use an EpiPen and dont need it? Do not inject into a muscle because it could cause the patient to go into shock. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. injected "[this mixture] subcutaneously into the site [of accidental epinephrine injection,] and stop as soon as the skin becomes pink". You may even want to print out the instructions and keep them in a handy place (for example, fold it up and keep it with the epinephrine shot). This will help prevent your skin from drying out due to constant exposure to high levels of alcohol. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. On this episode of ER or Not, Dr. If you are looking for additional tips on epinephrine at school, we have several additional blog posts you might enjoy: Your email address will not be published. That is not because of the epinephrine, but because the allergic reaction probably requires further monitoring. The cookie is used to store the user consent for the cookies in the category "Analytics". Avocado hand occurs when a person tries to remove the pit in a dangerous manner, such as with a knife, and ends up cutting themselves. If you handle electric shock devices without thinking about what you're doing, you could be risking serious injury. Create an account to follow your favorite communities and start taking part in conversations. 9 What happens if you accidentally inject epinephrine into your thumb? Almost immediately, I could tell something was off, not . His blood pressure was 175/85 mmHg, heart rate 80/minute, and respiratory rate 16/minute. Either way, glad you're OK! Burkhart KK: The reversal of the ischemic effects of epinephrine on a finger with local injections of phentolamine. Does it matter where you stick an EpiPen? This cookie is set by GDPR Cookie Consent plugin. Google Scholar. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. The cookie is used to store the user consent for the cookies in the category "Other. Ive mixed up my Epipen and trainer before but Ive always figured out which is which. I was trying to use the empty injector they give you to practice and ended up accidentally sticking myself by accident with the actual pen am I going to be okay? Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. I then did the only thing I could think of and yelled for my mom who was in the living room. The rate of accidental injection of epinephrine from autoinjectors has increased worldwide. If you do choose to use hand sanitizer regularly, here are some tips to avoid any side effects: Don't use more than what's on your hand for too long. How to save an ischemic finger. I am 100% okay. Necessary cookies are absolutely essential for the website to function properly.

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