Visual diagnosis in emergency medicine| Volume 41, ISSUE 6, P672-674, December 2011

Digital Epipen® Injection: A Case of Conservative Management

  • Scott C. Sherman
    Reprint Address: Scott C. Sherman, md, faaem, Department of Emergency Medicine, Cook County Hospital (Stroger), 1900 West Polk Avenue, 10th Floor, Chicago, IL 60612
    Department of Emergency Medicine, Cook County Hospital (Stroger), Chicago, Illinois and Rush Medical College, Chicago, Illinois
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Published:September 18, 2009DOI:
      A 46-year-old woman presented to the Emergency Department (ED) with left thumb pain after accidentally discharging her son's Epipen® (Dey, LP; Napa, CA) while cleaning out his belongings. She stated that the injury occurred approximately 40 min before her arrival. The Epipen® was the adult dose model and carried 0.3 mg of epinephrine. She did not know how much had been injected. She denied any other complaints except thumb pain. The past medical history was significant for hypertension, asthma, and gastritis. Her medications included hydrochlorothiazide, ranitidine, and albuterol. She did not drink alcohol, smoke, or use drugs.
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