They make 0.3ml syringes. NM basics can draw and give it as long as it's a dose limiting syringe.Agreed. Simple and easy. I was referring to the fact that in most places, epi autoinjectors are not even considered BLS and carried.
How you get the epi in isn't that important, it just needs to get in asap. Autoinjectors actually improve pt safety in some cases even with ALS providers.
I would leave it open for each service to choose whether to carry an autoinjector or amps and syringes, as some agencies would be willing to do the training for IM injection (which isn't rocket science).
What I'd like to see is a prefilled syringe similar to the diluent in a glucagon kit that contains 0.3 mg of epi. Giving the IM shot is easy, where people will screw up manual epi is on the math or drawing up a dose.
It would also be much cheaper.