In the process, she stabbed Alex's hand and injected him with the drug. . California Privacy Statement, Most accidental injections (an estimated 94%) occur when a patient or someone trying to help them accidentally jabs their finger or thumb[2]. Im sure there are many more hypothetical situations but these are the few I could come up with. Seek immediate medical attention in the case of an accidental injection. My wife accidentally stuck her finger and now its white, cold, numb and wrinkly like she just got out of the tub but refuses to seek medical attention. Always call 911 or go to the emergency room after using your EpiPen. This however, is the worst-case scenario. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Hand. Ive followed suit and do the same when I receive a new Epipen. 10.1007/s11552-006-9012-4. 2004, 21: 387-388. What happens if you inject an EpiPen without needing it? Accidentally injecting EpiPen into your hands or feet may result in a loss of blood flow to those areas, and resulting numbness. Access to medical databases through new technologies is essential. Its use is limited by adverse side effects such as hypotension and tachycardia, requiring adequate pre-hydration. B12 injections or vaccinations), theres a sharp sting as the needle punctures the skin. WALTHAM, Massachusetts -- Some scary moments unfolded after an 11-year-old accidentally stabbed himself with a real EpiPen during a health class lesson. I stabbed myself with an Epipen. - Medium Symptoms of an accidental injection are not usually so severe and may include temporary numbness or tingling, pain and swelling at the injection site, elevated heart rate and/or heart palpations. With an EpiPen, the First Time Is the Worst Time Article If youre at home, a friends house, or at a party, make sure you tell someone that youve injected yourself with an Epipen. Find out more about how we use your personal data in our privacy policy and cookie policy. Or confusing the red-colored granola bar wrapper (chocolate) and the orange-colored one (peanut butter) during a chaotic morning (stab No. & Staeger, P. Management options for accidental injection of epinephrine from an autoinjector: a case report. What happens if you accidentally take an EpiPen? If someone has symptoms of anaphylaxis:. What happens if you use an EpiPen and dont go to the hospital? Philippe Staeger. Hold firmly in place for 3 seconds (count slowly 1, 2, 3). Once a year Ill get my new Epipen and practice with the trainer. Hello, my name is Elaina and Im 16 years old. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. Hand sanitizer overuse can cause dry, cracked skin, as well as redness, discolouration, and flaking. Ive battled environmental allergies for years and I always carry an Epipen with me. 'HELP US!!' An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. When it comes to allergies everyone experiences different types of symptoms and Ive rarely had respiratory symptoms that affected my breathing. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. All I want is to get through my day without screwing something up. An unintentional injection into the hands or feet might reduce blood supply to these tissues, potentially resulting in tissue death. Here are a few tips I recommend based on the storage instructions. No need to use antiseptics or disinfectants. Symptoms of breathing problems, nausea or vomiting, itching, and swelling can come on quickly and become life-threatening. If you accidentally stab the tip in your buttocks, the medication dosage will be less effective. Your email address will not be published. In summary, follow the steps below to administer an epinephrine auto-injector to yourself: Carefully remove the auto-injector from its clear carrier tube. Medication Administration: When preparing to give meds to a patient: always look up any medication you are unfamiliar with (so that you know why you are giving the medication and so you will know possible s/s) Use only medications in a clearly labeled container. What common mistake can happen when using an EpiPen? pain and swelling at the injection site. 2007, 18: 448-452. He specializes in orthopedic surgery, cancer treatment, and general surgical procedures. You might feel anxious. PubMed ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The EpiPen injection, contrary to popular perception, may be administered through clothes. 2 pencil. I havent had to use mine, however, I still carry around the expensive auto-injector. Exapno_Mapcase April 19, 2008, 9:02pm #5. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Most suicides approach the problem is a way to give themselves . 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. Like many drugs, there might be side effects from epinephrine, such as anxiety, dizziness, and sweating, and swelling, pain, or changes in skin color at the injection site because of decreased blood flow to the area. the wound is large or gaping and you cant gently push the edges together. "I was racing 90 miles per hour from my office in Hingham, because I didn't know what was going to happen to my son," May said. My son's have always been. I decided to try the practice one I knew was in the case. old, shot himself with an epi-pen. We use cookies to ensure that we give you the best experience on our website. Full recovery was noted at a 2-month follow-up exam. 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 i accidentally stabbed myself with my epipen - YouTube Burkhart KK: The reversal of the ischemic effects of epinephrine on a finger with local injections of phentolamine. Plast Reconstr Surg. 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. Although no case of digital loss because of an accidental injection of epinephrine has been reported [4], the risk of severe pain and even necrosis due to severe local vasoconstriction is real, so developing formal treatment [5] guidelines is paramount. Then theres a deep ache as the medicine is released into the muscle. Over the years, I've gotten a lot better at wielding an EpiPen. I was looking in some cabinets for neosporin when I came across my old epipens. Case 1: A 15-year-old boy found an EpiPen on a bus. 5 What happens if you get stuck with an EpiPen and dont need it? Indirect contact with an electric field generated by a shock pen may also be harmful. If the finger is looking white, this would warrant going to an . Find everything you need to know about Epinephrine Injection (Auvi-Q), including what it is used for, warnings, reviews, side effects, and interactions. 2 What common mistake can happen when using an EpiPen? Aside from this, there are also risks of an accidental injection in and of itself. 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. If you pierce or puncture your skin with a used needle, follow this first aid advice immediately: encourage the wound to bleed, ideally by holding it under running water. I looked down at the epipen itself and saw there was a needle. According to the EpiPens manufacturer labeling, after injection the pen should be held in place for three seconds then removed. 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. A commonplace for discussion, news, advice and questions with fellow sufferers. 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. This cookie is set by GDPR Cookie Consent plugin. Neocate is a family of hypoallergenic, amino acid-based medical foods for use under medical supervision and is indicated for cow milk allergy, multiple food allergies and related GI and allergic conditions. If you accidentally stab the tip in your buttocks, the medication dosage will be less effective. Provided by the Springer Nature SharedIt content-sharing initiative. The consequences can be serious: avocado hand can result in damage to the muscles or tendons, and even the nerves in extreme cases. In one way or another, you find yourself punctured with a freshly sharpened No. Unintentional injection of epinephrine into fingers or hands can cause limited blood flow and injury. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. authenticate users, apply security measures, and prevent spam and abuse, and, display personalised ads and content based on interest profiles, measure the effectiveness of personalised ads and content, and, develop and improve our products and services. Just how much does an EpiPen hurt? However, sometimes the symptoms get better and then start again a few hours later. Should you go to the emergency room immediately? In rare cases, this might result in a serious injury. 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. 8 What happens if I use an EpiPen and dont need it? 1999, 17: 91-94. 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. What happens if you inject an EpiPen without needing it? 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. However, these devices are not without risk: myocardial infarction from injected epinephrine has been reported [1]. Rinse and wash the area well with running water and soap. There might even be a bit of a dark spot from the graphite underneath the skin. Accidental Needle Stick: Chance of Infection, First Aid, Prevention - WebMD As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. I have a nut allergy. 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. Hypoglycemic episodes are most likely to occur between two and four hours after injecting insulin. Learn more about Epinephrine Injection . McGovern SJ: Treatment of accidental digital injection of adrenaline from an auto-injector device. If you alone call your local doctors office or allergist its never a bad idea to let them know the mistake. 1993, 70: 396-398. Yep, been there done that. The cookie is used to store the user consent for the cookies in the category "Other. When I went to grab it to throw it out it opened and stabbed me in my palm right under my thumb. 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. Do not use liquid medications that are cloudy or have changed color Calculate the . One woman committed suicide with epinephrine injectors. My brother did something similar in middle school cause for some reason he though my epipen was the case for the thermometer. Do not inject into a muscle because it could cause the patient to go into shock. What happens if you stab a nerve in your hand? So I grabbed it, popped the lid off, and stabbed my outer thigh. Forcefully push the epinephrine injector into the outer-upper portion of the thigh in a stabbing motion, and hold it there for 10 seconds. If you do happen to get hit by a shock wave, try not to touch anything with metal objects inside it because you don't want those charges to go somewhere else. Adults and children weighing 30 kilograms (kg) or more0.3 to 0.5 milligram (mg) injected under the skin or into the muscle of your thigh. Seek emergency medical attention even after you use EpiPen to treat a severe allergic reaction. 4 What happens if you stab a nerve in your hand? 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. I pulled the pen away right after injecting the medicine. Accidental Injections of Epinephrine (EpiPen). What happens if you inject EpiPen by accident? What should you do 2 Why do they stab each other with EpiPens? elevated heart rate and/or heart palpations. The epinephrine is from epinephrine injection, USP 1:2000 (0.3 mL) in a sterile solution. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen). I am 100% okay. If the contents of the needle splashed to nose, mouth, face or other skin areas, wash them well with soap. Journal of Medical Case Reports He developed swelling, pallor, and pain in the thumb. Large amounts of ink swallowed from a bottle could be irritant, but serious poisoning has not been reported.". The directions explained it clearly; I was nervous and wasn't paying attention. Video: Girl stabs herself with EpiPen while trying to help friend If I start to feel nausea and my stomach hurts or I get rashes and a headache, should I use an epipen? I first got my epipen back in 2006 and it was the same ones that I had at my house. Plast Reconstr Surg. The rate of accidental injection of epinephrine from autoinjectors has increased worldwide. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. The entire digit was cool and pale, and a prolonged capillary refill time was seen at more than 10 s (Figure 1). Either way, glad you're OK! Forcefully push the epinephrine injector into the outer-upper portion of the thigh in a stabbing motion, and hold it there for 10 seconds. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Doctors say that you should never wear clothes that conduct electricity because it's like wearing a fuse box under your shirt. Emerg Med J. Article Forcefully push the epinephrine injector into the outer-upper portion of the thigh in a stabbing motion, and hold it there for 10 seconds. Velissariou et al. Most cases of anaphylaxis happen quickly and fully resolve after theyre treated. What happens if you inject yourself with an EpiPen in your arm? Manage cookies/Do not sell my data we use in the preference centre. Formal training should be provided to all health professionals who prescribe or issue epinephrine autoinjectors. It's gone a kind of pale bluish white colour, feels quite numb and cold. My son, 10 yrs. My allergist has plenty of trainers laying around the office and they use a permanent marker to write trainer on practice injectors. Yikes! What happens if I accidentally stab myself with an epipen? If you handle electric shock devices without thinking about what you're doing, you could be risking serious injury. The drug wasn't supposed to be inside of the EpiPen an 11-year-old boy stabbed himself with during health class. The cookies is used to store the user consent for the cookies in the category "Necessary". 1 What happens if you stab your finger with an EpiPen? Velissariou I, Cottrell S, Berry K, Wilson B: Management of adrenaline (epinephrine) induced digital ischaemia in children after accidental injection from an EpiPen. the cut is deep or exposes subcutaneous tissue. If you don't follow correct procedure, you could end up hurting the person who needs the medication. Am J Emerg Med. But opting out of some of these cookies may affect your browsing experience. 10.1136/emj.2003.005462. Necessary cookies are absolutely essential for the website to function properly. The charge on your body will move through any water that comes into contact with it, allowing you to get shocked without being close to a person. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( Correspondence to Make sure you alert someone around you. Medical student reveals exactly how to use an EpiPen )Aug 27, 2019. Even though they are labeled I still get worried and have to look closely. He's a bit younger than you so perhaps they weren't always that way. I recommend not being weird like me and deciding to stab yourself with your old practice epipen like me, because it might be the real one with a needle and not the practice one. Which is a uniquely modern human Homo sapiens trait? 10.1097/00006534-200107000-00017. This article is published under license to BioMed Central Ltd. Use a sterile material to dry the wound and immediately cover the wound with a waterproof plaster or dressing. This could lead to a heart attack. Springer Nature. Keep the wound clean and dry. "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.". The reason: Children and older adults tend to share needles, which leads to infections that can cause serious heart problems if not treated immediately. Greene AK: Management of epinephrine injection injury to the digit. Maybe theyve watched you practice using your Epi or maybe theyve seen the picture instructions on the box. 29/07/2008 23:27. 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. 1. 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). What common mistake can happen when using an EpiPen? All are serious errors that can delay or prevent getting someone the epinephrine necessary to stop a reaction. If you have sensitive skin, try using a less abrasive soap instead of hand sanitizer. You might think that would never happen, but it happens all the time and some people use their Epi a lot! PubMed The thought of using an Epipen can be disconcerting however if you have a horrible allergic reaction you might be more than happy to use it! Whenever I practice using my Epipen I make sure Im using the correct injector. I only received a third of a junior dose. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. The content you are trying to access is intended for healthcare professionals only. If you are giving an injection to someone else, such as a child, ensure that you follow proper safety procedures. Here, EpiPen's are pictured in a two-pack August 16, 2016 . The incidence is about 1 per 50,000 Epipen units [3]. I was looking in some cabinets for neosporin when I came across my old epipens. This cookie is set by GDPR Cookie Consent plugin. What are the physical state of oxygen at room temperature? Do you have to go to the hospital if you use an EpiPen? This cookie is set by GDPR Cookie Consent plugin. Maguire WM, Reisdorff EJ, Smith D, Wiegenstein JG: Epinephrine-induced vasospasm reversed by phentolamine digital block. These cookies ensure basic functionalities and security features of the website, anonymously. I accidentally stabbed myself with my old and expired epipen 5 Should you go to ER after using EpiPen? Many patients also need more than one dose of epinephrine or other emergency treatments. If the wound was left open or if stitches were used, clean the wound daily: If surgical tape was used, keep the area clean and dry. If you continue to use this site we will assume that you are happy with it. What happens if I use an EpiPen and dont need it? It does not store any personal data. However, this is the worst-case situation. Dr. Alvin Lin answered. Luckily, the doctors performed emergency procedures and were able to restart it. "Omigod, Darrel - this isn't the practice pen - this is a REAL Epi-pen!" I shouted. A mix-up during health class left a 11-year-old boy in a Massachusetts hospital after he accidentally stabbed himself with a real EpiPen. The cookie is used to store the user consent for the cookies in the category "Other. Hand X-ray did not show a fracture of the distal phalanx. It's painful so I cant type that much. You may repeat the injection every 5 to 10 minutes as needed. I accidentally injected myself today in the thumb while administering to an adolescent who had shock after school at an event. Stier PA, Bogner MP, Webster K, Leikin JB, Burda A: Use of subcutaneous terbutaline to reverse peripheral ischemia. Just found an old Epipen in my car. What does a blood sugar level of 1000 mean? [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. 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. What happens if you accidentally use an epipen? Keep your hand and fingers away from the needle end. The cookie is used to store the user consent for the cookies in the category "Analytics". Mix of 1 tablespoon (14.8 ml) of salt to 1 cup of warm water. Topical nitroglycerin, oral vasodilators, and immersion in warm water were attempted unsuccessfully. Pricking yourself (by accident) after pricking the cat? 1994, 3: 193-195. While injecting the epinephrine, count to ten. WALTHAM, Massachusetts -- Some scary moments unfolded after an 11-year-old accidentally stabbed himself with a real EpiPen during a health class lesson. Google Scholar. But mistakes happen and you should be prepared. The big problem is that it is psychologically difficult to stab yourself with the strength and follow-through that are necessary to drive the blade in all the way. Yet today, I managed to crack the backboard on my driveway . (Brands may instruct users to hold the pen in place for 3, 5 or 10 seconds. Epinephrine acts quickly to improve breathing, stimulate the heart, raise a dropping blood pressure, reverse hives, and reduce swelling of the face, lips, and throat. After 20-30 minutes the blotchiness has faded and my leg felt a bit better. This is not necessary with hand sanitizer since it does not spread via contact with other objects, but it will help prevent spreading disease if you come in contact with poo or vomit for example. Each EpiPen Auto-Injector contains 0.3 mL of a 1:1000 epinephrine solution for injection. Accidental Epipen Injection | Consequences & How to Use - Neocate What happens if you inject EpiPen by accident? What should you do? Vascular surgeons, anesthetists, and a hand specialist were contacted by the treating general internist. This cookie is set by GDPR Cookie Consent plugin. An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. This however, is the worst-case scenario. But holding it for 10 seconds is appropriate in all cases, and it may easier to remember.) It says it expired in 2007. 1 What happens if you accidentally take an EpiPen? Of course, that was until I accidentally stabbed myself in the thumb with an Epipen needle. I have officially learned my lesson and will never do anything like this again. do not suck the wound. 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. Five years later at sleep-away camp in New Hampshire, it was . This Med Student Went Viral For Showing How To Properly Use An EpiPen Then you can just throw the case away. Answer (1 of 4): I just saw your comment that you stabbed yourself in the finger. You should take special care not to walk through puddles of water when out of doors, otherwise you might get hurt from the electrical current flowing through the ground. Can You Overdose on EpiPens? - UK Meds How to save an ischemic finger. Only use the EpiPen injector provided by your doctor's office! PubMedGoogle Scholar. 2001, 108: 114-124. 2023 Nutricia North America. Please Introduce Yourself: 1, 888 : Travel: 1, 400 : Restaurants: 1, 210 : Recipes and Cooking: 826 . Analytical cookies are used to understand how visitors interact with the website. Learn how we can help. Here are a few tips I recommend based on the storage instructions. 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. 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. wash the wound using running water and plenty of soap. Talk with your doctor about how you can best control symptoms of your illness. There will always be the chance of unknowingly scarfing down pecan-laced strawberry pie at a family gathering (stab No. The cookie is used to store the user consent for the cookies in the category "Performance". But opting out of some of these cookies may affect your browsing experience. Finally, wash your hands after using the restroom; this is where you're likely to spread germs. People who accidentally shoot themselves in the leg will usually be able to walk away from it. PubMed These cookies ensure basic functionalities and security features of the website, anonymously. This however, is the worst-case scenario. 1997, 14: 379-380. This however, is the worst-case scenario. EpiPen or EpiPen Jr should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. If your Epipen was used by you or a family member on accident make sure its stored in the correct place. Velissariou et al. What is the difference between EpiPen doses? 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. The authors declare that they have no competing interests. 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