Digital EpiPen injection

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Background

  • Accidental digital self-injection of epinephrine from an EpiPen.

Clinical Features

  • Puncture wound with delayed capillary refill (vasoconstriction)

Differential Diagnosis

Evaluation

  • Typically a clinical diagnosis (no testing required)

Treatment

  • Observation for 2 hours after injection[1]
  • If continued ischemia symptoms after 2 hrs

Disposition

  • Outpatient

See Also

References

  1. "Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.