Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia

Accidental finger sticks with EpiPens and EpiPen Jr (epinephrine auto-injectors) are a very real hazard in those who carry them and their families. The most feared complications are digital ischemia and necrosis; however, long-term adverse effects are extremely rare. Treatment for a finger stick is...

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Detalles Bibliográficos
Autores principales: Shapiro, Alex L, Ziehl, Danielle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970458/
https://www.ncbi.nlm.nih.gov/pubmed/31993272
http://dx.doi.org/10.7759/cureus.6435
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author Shapiro, Alex L
Ziehl, Danielle
author_facet Shapiro, Alex L
Ziehl, Danielle
author_sort Shapiro, Alex L
collection PubMed
description Accidental finger sticks with EpiPens and EpiPen Jr (epinephrine auto-injectors) are a very real hazard in those who carry them and their families. The most feared complications are digital ischemia and necrosis; however, long-term adverse effects are extremely rare. Treatment for a finger stick is controversial, ranging from intra-arterial inj­­ections of vasodilating agents to topical vasodilators to conservative management. We report a pediatric patient suffering from an EpiPen Jr accidental stick to the distal first digit who was successfully managed in a conservative fashion.
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spelling pubmed-69704582020-01-28 Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia Shapiro, Alex L Ziehl, Danielle Cureus Emergency Medicine Accidental finger sticks with EpiPens and EpiPen Jr (epinephrine auto-injectors) are a very real hazard in those who carry them and their families. The most feared complications are digital ischemia and necrosis; however, long-term adverse effects are extremely rare. Treatment for a finger stick is controversial, ranging from intra-arterial inj­­ections of vasodilating agents to topical vasodilators to conservative management. We report a pediatric patient suffering from an EpiPen Jr accidental stick to the distal first digit who was successfully managed in a conservative fashion. Cureus 2019-12-20 /pmc/articles/PMC6970458/ /pubmed/31993272 http://dx.doi.org/10.7759/cureus.6435 Text en Copyright © 2019, Shapiro et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Shapiro, Alex L
Ziehl, Danielle
Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title_full Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title_fullStr Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title_full_unstemmed Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title_short Pediatric Epinephrine Auto-injector Accident Without Digital Ischemia
title_sort pediatric epinephrine auto-injector accident without digital ischemia
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970458/
https://www.ncbi.nlm.nih.gov/pubmed/31993272
http://dx.doi.org/10.7759/cureus.6435
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