What happens if you stick yourself with an EpiPen accidentally? What Happens When You Use An Epipen - BikeHike 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. You'll feel a rush of energy. Wear gloves when working with hazardous materials to prevent contamination. Grip the barrel of the auto-injector in your dominant hand so the orange tip points downward. What happens if you stab your finger with an EpiPen? - Heimduo Yang ended up being a liability because she didn't take the time to think. Ive battled environmental allergies for years and I always carry an Epipen with me. A delay in administering epinephrine can be life threatening. Some inks may cause soreness in the mouth. Epinephrine is adrenaline and a naturally occurring hormone in the body. Philippe Staeger. Hello, my name is Elaina and Im 16 years old. Or just take reactants. If bleeding occurs from the wound, cover with a gauze or towel and apply firm direct pressure without letting go for 5 full minutes by the clock. Keep all medications in a safe place where children cannot reach them. The reason: Children and older adults tend to share needles, which leads to infections that can cause serious heart problems if not treated immediately. "Somehow he, when he reached into the batch, got a hold of a real, live EpiPen, and used it -- like everyone else -- and stuck it into his thigh.". What happens if you accidentally get stabbed with an EpiPen? Sellens C, Morrison L: Accidental injection of epinephrine by a child: a unique approach to treatment. Grey's Anatomy: The 10 Most Shocking Things Cristina Ever Did - ScreenRant 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. What happens when a deep water wave approaches the shore? There are a few situations that come to mind when answering this question. So we told him "Well, don't hit yourself so hard with it, honey!" and chuckled. California Privacy Statement, The Joint Task Force on Practice Parameters guidelines recommend that patients at risk carry two epipens at all times (or any auto injector). Accidental Needle Stick: Chance of Infection, First Aid, Prevention - WebMD 3 What happens if you use an EpiPen and dont go to the hospital? J Accid Emerg Med. Anaphylaxis is a medical emergency that requires immediate treatment. What are the symptoms of an accidental epinephrine injection? Why do they stab each other with EpiPens? One woman committed suicide with epinephrine injectors. The cookie is used to store the user consent for the cookies in the category "Analytics". 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. 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. In cases like that, a quick call to the doctor or a visit to an urgent care center might be a good idea, even if it's just for reassurance. This is called "indoor electrostatic discharge" (ESD). 11% of children weighing 15 to 30 kg showed a risk of intraosseous injection (hitting the bone) with EpiPen Jr or Auvi-Q 0,15 mg; and 38% of children with Jext 0,15 mg. EpiPen or EpiPen Jr should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Epinephrine can kill you. 10.1016/0735-6757(90)90295-B. Because an EpiPen is an auto-injector, the needle shoots out as soon as the cap is taken off, so if you squeeze or touch it, you may get the injection in your thumb instead, which causes the blood vessels to constrict, resulting in inadequate blood flow. I havent had to use mine, however, I still carry around the expensive auto-injector. 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. What if I use an EpiPen and dont need it? 1990, 8: 46-47. Which is a uniquely modern human Homo sapiens trait? What to do. Although hand sanitizer has been shown to be effective in killing germs, its usage might have unintended consequences. Delayed capillary refill of the left thumb after accidental injection of epinephrine. Here are some tips to help. He complained of pain and paresthesia in the thumb. Treatment of severe anaphylaxis with epinephrine autoinjector devices such as Epipen (or Anapen) and Epipen Jr has been available since 1980. PT comes in having stuck their thumb accidentally with an EpiPen while showing someone else how to use one. However, the surgery proved it was Jackson after Cristina messed up. Mehr S, Robinson M, Tang M: Doctor - how do I use my EpiPen?. In a hurry, Christina grabbed a syringe full of epinephrine and directed it to the patient's heart without looking. Hold firmly against your thigh for 3 seconds for EpiPen and its generic, 5 seconds for Auvi-Q, or 10 seconds for generic Adrenaclick to deliver the medication. The school district said it is investigating the incident and are reviewing school-wide procedures to make sure something similar does not happen again. Cite this article. Saff R, Nahhas A, Fink JN: Myocardial infarction induced by coronary vasospasm after self-administration of epinephrine. But opting out of some of these cookies may affect your browsing experience. [4] 4. By clicking Accept All, you consent to the use of ALL the cookies. Kaspersen J, Vedsted P: [Accidental injection of adrenaline in a finger with EpiPen]. What should I do if I injure myself with a used needle? - NHS I recently accidentally stabbed myself in the leg with my old and expired epipen. Why you should go to the emergency room after using the EpiPen. But opting out of some of these cookies may affect your browsing experience. Find everything you need to know about Epinephrine Injection (Auvi-Q), including what it is used for, warnings, reviews, side effects, and interactions. Make sure to wash your hands after administering an epinephrine injection. The cookies is used to store the user consent for the cookies in the category "Necessary". Pediatr Allergy Immunol. . Full recovery was noted at a 2-month follow-up exam. Understandably, epinephrine will have a great effect on a small child than a grown adult and this can be scary. I am 100% okay. He unintentionally injected the adrenaline into the tip of his thumb. I pulled the pen away right after injecting the medicine. For about ten seconds. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. A delay in administering epinephrine can be life threatening. The cookie is used to store the user consent for the cookies in the category "Performance". How long does a shock last in the human body? If you were playing around and happened to inject into your thumb (I have seen that one), you might need to have some emergency treatment due to fracture of or impaling the distal phalanx and concern about vasoconstriction of vessels in the thumb. I had began to feel very energized and had slight pain on my outer thigh. This cookie is set by GDPR Cookie Consent plugin. Just how much does an EpiPen hurt? What happens if you inject an EpiPen without needing it? you should have gone to the e.r. The injection sight was sore, blotchy, and slightly numb. You should seek emergency medical help immediately you use the injection. I don't recommend that anyone use epinephrine unless it's absolutely necessary, but I did take away some positive lessons. Hypoglycemic episodes are most likely to occur between two and four hours after injecting insulin. Like other injections that go into the muscle (e.g. This could lead to a heart attack. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2023 | Dust Mite Solutions is a participant in the Amazon Services LLC Use a sterile material to dry the wound and immediately cover the wound with a waterproof plaster or dressing. My son's have always been. A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen). What I Learned From My Child's Accidental Epipen Injection If you did not hear a click, that person may not have received any medication. Hi Lace, If you or someone in your family injects an Epipen without needing it,make sure you understand how it will make you feel and the potential adverse effects. First of all, the thought of using an Epipen is scary enough. The intravenous alpha-blocker phentolamine was not prescribed. Medical student reveals exactly how to use an EpiPen These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Many patients also need more than one dose of epinephrine or other emergency treatments. We also use third-party cookies that help us analyze and understand how you use this website. If you alone call your local doctors office or allergist its never a bad idea to let them know the mistake. How to Avoid an Epipen Accidental Stab #shorts - YouTube Isn't the practice pen visually quite different? What happens if you use an EpiPen and dont go to the hospital? For children and adults who experience anaphylaxis, an epinephrine shot is a matter of life or death. All are serious errors that can delay or prevent getting someone the epinephrine necessary to stop a reaction. Doctor Ricky Brown breaks down the best things you can do to avoid an accidental stab with an Epipen so you don't accidentally stick yourself and overdose on. Copyright 2020 - 2023 Stamina Comfort Inc. What happens if you take an EpiPen without needing it? Once injected epinephrine will: Enhance your breathing, quicken your heart, and raise blood pressure. She, at that point, thought I had found something wrong with my newly dyed hair. However, this is the worst-case situation. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. However, you don't want to be washing your hands with them constantly because the concentration decreases rapidly with time. A commonplace for discussion, news, advice and questions with fellow sufferers. I decided against it. 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). These cookies track visitors across websites and collect information to provide customized ads. How can you prevent yourself from sticking yourself with an EpiPen? On the other hand, i think it's more likely to develop an . Flush splashes of blood and needle contents on other parts of your body with water. This however, is the worst-case scenario. The cookies is used to store the user consent for the cookies in the category "Necessary". However, this is the worst-case situation. Feels kind of sore where the stab wound is. 2007, 18: 448-452. 1999, 17: 91-94. May described his son as turning bright red in color, and said he was sweating profusely by the time he arrived at the hospital. Never reuse needles/syringes that have been used for injecting insulin or other medications. I recently accidentally stabbed myself in the leg with my old and expired epipen. Video: The life-saving skill EVERYONE should have: Medical student reveals exactly how to use an EpiPen - after watching viral video of a girl stabbing HERSELF while trying to help a sick friend Most suicides approach the problem is a way to give themselves . Hand. Epi pens can have side effects. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. Immersion in warm water, application of topical nitroglycerin, and nerve blockade have been attempted without success, although Kaspersen et al. I try so hard to keep it together. When handling epinephrine auto-injectors, it is easy to accidentally inject yourself with epinephrine. What does an EpiPen do to a healthy person? Stier PA, Bogner MP, Webster K, Leikin JB, Burda A: Use of subcutaneous terbutaline to reverse peripheral ischemia. You may repeat the injection every 5 to 10 minutes as needed. Questions about EpiPens Answered - UK Meds An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. Again, hold the thing in your clenched fist, fingers and thumbs away from either end. Here are some additional tips to help you avoid self-injury while using your EpiPen: Always follow instructions printed on your medication bottle. In summary, follow the steps below to administer an epinephrine auto-injector to yourself: Carefully remove the auto-injector from its clear carrier tube. So I grabbed it, popped the lid off, and stabbed my outer thigh. Accidental Epi Injection | Medical Billing and Coding Forum - AAPC 5 What happens if you get stuck with an EpiPen and dont need it? 1999, 1: 34-36. Almost immediately, I could tell something was off, not . As soon as he noticed the needle in his leg he pulled it out. These cookies ensure basic functionalities and security features of the website, anonymously. They're complaining of numbness in their thumb and say "it is turning white". Open Access This however, is the worst-case scenario. On this episode of ER or Not, Dr. Police . As of 2016, it was estimated that more than three million people in the US had a prescription for an epinephrine autoinjector; A medical student has gone viral by detailing the correct way to use an EpiPen - after watching a video of a clueless girl accidentally stabbing herself in the finger while trying to administer the medicine to a friend. 1 What happens if I accidentally stab myself with an epipen? 10.1016/S0735-6757(99)90028-1. Call them and ask before you go down there. Pricking yourself (by accident) after pricking the cat? Hopefully, you can remain calm, notify people in the immediate vicinity, and seek medical advice quickly. 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. The cookie is used to store the user consent for the cookies in the category "Analytics". An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. Required fields are marked *. Thus, those receiving prescriptions for epinephrine autoinjectors should receive similar training. Alain Pcoud is thanked for critically reviewing the manuscript. (Brands may instruct users to hold the pen in place for 3, 5 or 10 seconds. Since epinephrine induces a vasoconstriction through an alpha adrenergic effect, the use of phentolamine seems logical. As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. Plast Reconstr Surg. The victim will likely experience pain when the wound is being cleaned so if the person is conscious, give her/him a warning. So I grabbed the Epi-pen from him and took a closer look. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. Swing and push the auto-injector firmly until it clicks. The click signals that the injection has started. 4 What happens if you stab a nerve in your hand? 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. Hi there! What should I do if I use my EpiPen on accident? What I stabbed myself with. What happens if you get stuck with an EpiPen and dont need it? Necessary cookies are absolutely essential for the website to function properly. All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. I ended up stabbing myself (accidentally) in the soft fleshy pad of my thumb, about 1" from the end. 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. 1998, 160: 6531-6532. Hold the injector in your fist with the needle end (usually red or orange) away from your . Dp says this is just to be expected but I'm worried I've damaged the circulation or something. Children weighing less than 30 kgDose is based on body weight and must be determined by your doctor. Anaphylaxis is a life-threatening allergic reaction, often to ordinary things like bee stings, peanut butter, or antibiotics. Family Medicine 58 years experience. Mathez, C., Favrat, B. We report a physician who accidentally injected epinephrine into his thumb while handling an autoinjector, and the results of reviewing the literature. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. McGovern SJ: Treatment of accidental digital injection of adrenaline from an auto-injector device. This cookie is set by GDPR Cookie Consent plugin. Thus far Ive been lucky. Velissariou I, Cottrell S, Berry K, Wilson B: Management of adrenaline (epinephrine) induced digital ischaemia in children after accidental injection from an EpiPen. EpiPen pro tips. Answer (1 of 6): It depends on where you inject. 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. Create an account to follow your favorite communities and start taking part in conversations. The cookie is used to store the user consent for the cookies in the category "Other. 7). The accidental action caused Alex's heart to stop. Have you ever had to deal with an accidental epinephrine injection? Do not use liquid medications that are cloudy or have changed color Calculate the . What happens if you inject EpiPen by accident? What should you do? 1992, 10: 496-10.1016/0736-4679(92)90285-2. It will also reduce swelling of the face and respiratory system. In rare cases, this might result in a serious injury. Make sure you alert someone around you. Accidental injection, usually involving a finger, is a potential complication. This sub is under reconstruction, please be patient as we work to improve it. For those of you who don't know, an Epipen is a crazy large needle carried by people with food allergies in the event they eat a peanut or something. What happens if I use an EpiPen and dont need it? [14] successfully used 1.5 mg of phentolamine (from a 10 mg/ml phentolamine mesylate ampoule) diluted in 1 ml of 2% lidocaine to treat such accidents. He's a bit younger than you so perhaps they weren't always that way. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Denkler K: A comprehensive review of epinephrine in the finger: to do or not to do. Am J Emerg Med. I accidentally injected myself today in the thumb while administering to an adolescent who had shock after school at an event. Always call 911 or go to the emergency room after using your EpiPen. Many people dont realize that after using the pen, you still must call 911 and get emergency medical attention, just in case you need back-up treatment. Symptoms of an unintentional injection are typically mild and may include: Injecting an EpiPen accidentally into your hands or feet may result in a lack of blood supply to those areas, resulting in numbness. 1 What happens if you accidentally take an EpiPen? Home care. Journal of Medical Case Reports These cookies will be stored in your browser only with your consent. While reading the operating instructions, he attempted to launch the needle but erroneously placed his left thumb over the needle opening. Even though they are labeled I still get worried and have to look closely. Press question mark to learn the rest of the keyboard shortcuts, 30 yr sufferer-most foods and environmental allergens. Sometimes they dont improve hours or days later. An unintentional injection into the hands or feet might reduce blood supply to these tissues, potentially resulting in tissue death. Ive also practiced using the Epipen in the doctors office (the trainer). What happens if you accidentally inject epinephrine into your thumb? Patients who have an acute allergic reaction can immediately inject epinephrine with them, reversing peripheral vasodilation, edema, constriction of the airways, and myocardial depression. You should always be checked out at the ER after using your EpiPen. Greene AK: Management of epinephrine injection injury to the digit. In this article, Ill share what to do if youve used an Epipen without needing it. The entire digit was cool and pale, and a prolonged capillary refill time was seen at more than 10 s (Figure 1). Seek immediate medical attention in the case of an accidental injection. If you do not want us and our partners to use cookies and personal data for these additional purposes, click 'Reject all'. Unintentional injection of epinephrine can easily occur when handling epinephrine auto-injectors. What common mistake can happen when using an EpiPen? Seek emergency medical attention even after you use EpiPen to treat a severe allergic reaction. This can reduce blood flow to the area. J Emerg Med. This may cause the real yellow EpiPen or real green EpiPen Jr auto-injector to accidentally activate. When I went to grab it to throw it out it opened and stabbed me in my palm right under my thumb. Doctors say that you should never wear clothes that conduct electricity because it's like wearing a fuse box under your shirt. Department of Ambulatory Care and Community Medicine, University of Lausanne, Bugnon 44, 1011, Lausanne-CHUV, Switzerland, Christian Mathez,Bernard Favrat&Philippe Staeger, You can also search for this author in This cookie is set by GDPR Cookie Consent plugin. Necessary cookies are absolutely essential for the website to function properly. Exapno_Mapcase April 19, 2008, 9:02pm #5. What happens if you use an EpiPen and dont go to the hospital? 3 Does it matter where you stick an EpiPen? However, I was still feeling very energized. How many of you carry epinephrine auto-injectors for your children? Why did a physician put his thumb over the EpiPen? Zucker first described phentolamine as useful to prevent necrosis due to levarterenol [8] and Jordan first showed the effectiveness of this drug for accidental epinephrine injection [9]. This website uses cookies to improve your experience while you navigate through the website. 1 What happens if you stab your finger with an EpiPen? Only use the EpiPen injector provided by your doctor's office! Article The effects of epinephrine may wear off after 10 or 20 minutes. Exam 3 outline - Exam 3 outline: Diagnostic Testing: Erythrocytes- (red Case 1: A 15-year-old boy found an EpiPen on a bus. The practice pen that I had looked almost identical to the real thing. 4 What if I use an EpiPen and dont need it? Large amounts of ink swallowed from a bottle could be irritant, but serious poisoning has not been reported.". Several approaches were proposed: metacarpal nerve block or digital block with local lidocaine to induce an inhibition of sympathetic afferents to the digit; and topical nitroglycerin, systemic vasodilators, and warming by immersion in water to increase the blood flow supplying the digit.