EPI-pen on code with ALS unavailible?

A discussion I was having down at the squad building- If you were on a code and ALS was unavalible (a virtual impossibility but even so) would you use an epi pen to get epi flowing while performing CPR and AED? would there be a downside do it?

I don't see this working, there is no perfusion to the tissue layer during a code that the IM injection will reach.

Plus, Epi pens only contain 0.3mg, we give 1mg

Plus, Epi hasn't been shown to work all that great. Do your BLS stuff, and do it good!


Negative effects? No, its just not gonna work though.


Good question, I like the thinking outside the box.
 
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Well... obviously the key is to use 3 pens... and go for the jugular.
 
Well... obviously the key is to use 3 pens... and go for the jugular.

Absolutely!!! That'd be the best way to do it... do it right or dont do it at all.
 
IM Epi (ie Epi-Pen) will not have any effect in a cardiac arrest.

Alternative use of an Epi-Pen for severe asthma in case of no ALS is realistic.
 
IM Epi (ie Epi-Pen) will not have any effect in a cardiac arrest.

Alternative use of an Epi-Pen for severe asthma in case of no ALS is realistic.

Agreed, as long as there's some thought given to distinguishing between the true asthmatic, and the COPDer who thinks they have asthma, but actually has bronchitis / emphysema. And some thought given to what severe means, and the risks associated with IM epi in patients with cardiac hx / risk factors.
 
Well... obviously the key is to use 3 pens... and go for the jugular.

I concur:

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