These cookies track visitors across websites and collect information to provide customized ads. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. Family Medicine 58 years experience. If the epinephrine is injected by mistake into small areas such as fingers and hands, blood vessels will constrict at the site of injection. I have officially learned my lesson and will never do anything like this again. Your blood pressure will rise. NAPLES, Fla. - A Florida woman stabbed her sister with an EpiPen as the two were drinking together because she's "allergic to drunks," according to the Naples Police Department. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. However, you may visit "Cookie Settings" to provide a controlled consent. Should I go to the hospital if I stabbed my hand? Ive battled environmental allergies for years and I always carry an Epipen with me. The sharp sting will hurt but lasts less than 10 seconds. B12 injections or vaccinations), theres a sharp sting as the needle punctures the skin. But everything else seems normal. Answer (1 of 4): I just saw your comment that you stabbed yourself in the finger. You may repeat the injection every 5 to 10 minutes as needed. 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. Anaphylaxis is a medical emergency that requires immediate treatment. Vascular surgeons, anesthetists, and a hand specialist were contacted by the treating general internist. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. Created for people with ongoing healthcare needs but benefits everyone. However, these devices are not without risk: myocardial infarction from injected epinephrine has been reported [1]. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. No do not worry: Nothing will happen, just your heart may start beating faster for few minutes and than back to normal. What are the symptoms of an accidental epinephrine injection? Hand. I hope you dont have to use an Epipen and I hope you never use an Epipen without needing it. How to Market Your Business with Webinars. https://doi.org/10.4076/1752-1947-3-7268, DOI: https://doi.org/10.4076/1752-1947-3-7268. We also use third-party cookies that help us analyze and understand how you use this website. The cookie is used to store the user consent for the cookies in the category "Performance". Of course, that was until I accidentally stabbed myself in the thumb with an Epipen needle. Because an EpiPen is an auto-injector, the needle shoots out as soon as the cap is taken off, so if you squeeze or touch it, you may get the injection in your thumb instead, which causes the blood vessels to constrict, resulting in inadequate blood flow. Topical nitroglycerin, oral vasodilators, and immersion in warm water were attempted unsuccessfully. Chris May's son and fellow students at . If you handle electric shock devices without thinking about what you're doing, you could be risking serious injury. What to do if you accidentally stab yourself in the hand? What are various methods available for deploying a Windows application? This may also cause the loss of sensation to the ring and little fingers. If you accidentally stab the tip in your buttocks, the medication dosage will be less effective. My allergist has plenty of trainers laying around the office and they use a permanent marker to write trainer on practice injectors. The epi-pen was expired, therefore, he thought the needle would not come out. Have you ever had to deal with an accidental epinephrine injection? A regimen of management of accidental epinephrine injection emphasizing the use of phentolamine should be instigated. 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. By using this website, you agree to our These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. These cookies will be stored in your browser only with your consent. the wound is large or gaping and you cant gently push the edges together. Hello, my name is Elaina and Im 16 years old. Article The recent energy lasted about 3 hours overall. Many pharmacies aren't licenced to take back medications for disposal. But opting out of some of these cookies may affect your browsing experience. Flush splashes of blood and needle contents on other parts of your body with water. 1994, 3: 193-195. Forcefully push the epinephrine injector into the outer-upper portion of the thigh in a stabbing motion, and hold it there for 10 seconds. Hinterberger JW, Kintzi HE: Phentolamine reversal of epinephrine-induced digital vasospasm. In the event of accidental injection, you should always seek medical attention. 2. If you don't understand any of the instructions, ask your pharmacist for help. Please Introduce Yourself: 1, 888 : Travel: 1, 400 : Restaurants: 1, 210 : Recipes and Cooking: 826 . Accidental injection, usually involving a finger, is a potential complication. then get accidentally stabbed with it. The consequences can be serious: avocado hand can result in damage to the muscles or tendons, and even the nerves in extreme cases. So I grabbed it, popped the lid off, and stabbed my outer thigh. All Rights Reserved. Hi Alice, What does a blood sugar level of 1000 mean? What may seem like a simple cut can, in fact, be a deep stab laceration. Place the orange tip against the middle of the outer thigh (upper leg) at a right angle (perpendicular) to the thigh. The cookie is used to store the user consent for the cookies in the category "Performance". Should you go to the emergency room immediately? Im sure there are many more hypothetical situations but these are the few I could come up with. Never reuse needles/syringes that have been used for injecting insulin or other medications. I then did the only thing I could think of and yelled for my mom who was in the living room. Do not use liquid medications that are cloudy or have changed color Calculate the . What common mistake can happen when using an EpiPen? Mild electric shock reactions are transient tingles and jolts, while more extreme reactions can cause significant discomfort and even burns. Since epinephrine induces a vasoconstriction through an alpha adrenergic effect, the use of phentolamine seems logical. By clicking Accept All, you consent to the use of ALL the cookies. This article is published under license to BioMed Central Ltd. Kids are observant. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". What happens if you accidentally get stabbed with an EpiPen? However, you don't want to be washing your hands with them constantly because the concentration decreases rapidly with time. If I did have trouble breathing, felt my mouth/throat swelling, or felt an abnormal amount of warmness due to allergy exposure Id absolutely use my Epipen but sometimes its hard to gauge how serious the symptoms are. Greene AK: Management of epinephrine injection injury to the digit. The cookie is used to store the user consent for the cookies in the category "Other. Here, EpiPen's are pictured in a two-pack August 16, 2016 . Reduced blood flow implies less oxygen reaching the tissue. Accidentally injecting EpiPen into your hands or feet may result in a loss of blood flow to those areas, and resulting numbness. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. 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. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. CM, PS and BF have made substantial contributions to conception, design, writing the manuscript and literature review. That is not because of the epinephrine, but because the allergic reaction probably requires further monitoring. . An accidental intravenous injection (which is very rare and would be fairly difficult to do on accident), is especially dangerous and can lead to hypertension and/or heart problems[1]. He complained of pain and paresthesia in the thumb. This cookie is set by GDPR Cookie Consent plugin. Luckily, the doctors performed emergency procedures and were able to restart it. However, this is the worst-case situation. Immersion in warm water, application of topical nitroglycerin, and nerve blockade have been attempted without success, although Kaspersen et al. This can reduce blood flow to the area. The idea is "blue to the sky". Philippe Staeger. do not suck the wound. Learn more about Epinephrine Injection . Also seek emergency medical attention if you accidentally inject yourself while giving epinephrine to another person. Very glad to hear that you were there to help, and that you had a backup injector! In the case of an emergency, you may not easily be able to let caregivers know if you are breastfeeding or pregnant. For about ten seconds. Place the orange tip on the thigh. Analytical cookies are used to understand how visitors interact with the website. Talk to your health provider to see if Neocate is right for you. Cookies policy. By clicking Accept All, you consent to the use of ALL the cookies. If you are giving an injection to someone else, such as a child, ensure that you follow proper safety procedures. Next, aim for the middle of the outer thigh, holding it at a right angle to the thigh. 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. EpiPen or EpiPen Jr should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. I hope for her sake it wears off soon like she hopes. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. The content you are trying to access is intended for healthcare professionals only. 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 . We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Yep, been there done that. Keep all medications in a safe place where children cannot reach them. I only received a third of a junior dose. What happens if I use an EpiPen and dont need it? Maybe theyve watched you practice using your Epi or maybe theyve seen the picture instructions on the box. Always call 911 or go to the emergency room after using your EpiPen. Troy Madsen settles your childhood fears about pencil-related injuries. For example, wear protective clothing when giving injections, use a sharps container to dispose of needles, and learn how to recognize signs of allergy attack (breathing problems, swelling of the face). Google Scholar. Zucker G: Use of phentolamine to prevent necrosis due to levarterenol. If you have expired epipens at your house you should take them to your pharmacy so they can be disposed of properly instead of just throwing them away. I looked down at the epipen itself and saw there was a needle. For children and adults who experience anaphylaxis, an epinephrine shot is a matter of life or death. J Accid Emerg Med. Its not pleasant to think about. Press J to jump to the feed. A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen). Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling. Some inks may cause soreness in the mouth. 1 What happens if I accidentally stab myself with an epipen? You also have the option to opt-out of these cookies. 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! A 31-year-old physician in a Family Practice training program at an academic primary care center was handling an Epipen because he wanted to be familiar with it before prescribing it. If you are unsure when would be appropriate time to administer your EpiPen, please contact your allergist or the EpiPen prescriber. What happens if I accidentally stab myself with an epipen? Necessary cookies are absolutely essential for the website to function properly. Dp says this is just to be expected but I'm worried I've damaged the circulation or something. A 31-year-old physician in a Family Practice training program at an academic primary care center was handling an Epipen because he wanted to be familiar with it before prescribing it. Social distancing is a new concept for all of us and as hard as it is for adults to adopt, getting children to understand and cooperate with our new normal is super challenging. It's gone a kind of pale bluish white colour, feels quite numb and cold. The cookie is used to store the user consent for the cookies in the category "Analytics". Sorry there was an error savinig your comment. Large amounts of ink swallowed from a bottle could be irritant, but serious poisoning has not been reported.". Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. What happens if you inject an EpiPen without needing it? Once injected epinephrine will: Enhance your breathing, quicken your heart, and raise blood pressure. Even if you do inject yourself, youll still need to get to an emergency room. 1990, 8: 46-47. This cookie is set by GDPR Cookie Consent plugin. This cookie is set by GDPR Cookie Consent plugin. This cookie is set by GDPR Cookie Consent plugin. (I had used the practice one before). 2023 BioMed Central Ltd unless otherwise stated. WALTHAM, Massachusetts -- Some scary moments unfolded after an 11-year-old accidentally stabbed himself with a real EpiPen during a health class lesson. What causes the arms to go numb while sleeping? Ive followed suit and do the same when I receive a new Epipen. statement and The cookies is used to store the user consent for the cookies in the category "Necessary". Many patients also need more than one dose of epinephrine or other emergency treatments. 12/13/17 AT 5:36 PM EST. This event also highlights the importance for all doctors to gain quick access to information in the case of unusual presentation. Which is a uniquely modern human Homo sapiens trait? Either way, glad you're OK! These cookies will be stored in your browser only with your consent. 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. However, I was still feeling very energized. Written informed consent was obtained from the patient for publication of this case report and any accompanying images, but is obvious as the patient is the first author of this case report. However, this is the worst-case situation. Ugeskr Laeger. All are serious errors that can delay or prevent getting someone the epinephrine necessary to stop a reaction. PubMedGoogle Scholar. Find everything you need to know about Epinephrine Injection (Auvi-Q), including what it is used for, warnings, reviews, side effects, and interactions. 2007, 18: 448-452. If you did not hear a click, that person may not have received any medication. How to save an ischemic finger. He accidentally discharged the contents of the spring-loaded syringe into his thumb; and the needle was twisted into the distal tip of his finger. I had began to feel very energized and had slight pain on my outer thigh. So I grabbed the Epi-pen from him and took a closer look. Five years later at sleep-away camp in New Hampshire, it was . We report a physician who accidentally injected epinephrine into his thumb while handling an autoinjector, and the results of reviewing the literature. But opting out of some of these cookies may affect your browsing experience. The epinephrine is from epinephrine injection, USP 1:2000 (0.3 mL) in a sterile solution. You can change your choices at any time by clicking on the 'Privacy dashboard' links on our sites and apps. I ended up stabbing myself (accidentally) in the soft fleshy pad of my thumb, about 1" from the end. 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. If you get an artificially high dose (milligrams rather than tenths of a milligram) it can kill you. Here are some additional tips to help you avoid self-injury while using your EpiPen: Always follow instructions printed on your medication bottle. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". I was looking in some cabinets for neosporin when I came across my old epipens. In one way or another, you find yourself punctured with a freshly sharpened No. Necessary cookies are absolutely essential for the website to function properly. Hold firmly in place for 3 seconds (count slowly 1, 2, 3). 2005, 115: 1800-1801. Introduction Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Only use the EpiPen injector provided by your doctor's office! He developed swelling, pallor, and pain in the thumb. According to the EpiPens manufacturer labeling, after injection the pen should be held in place for three seconds then removed. The Epi Pen on the other hand has a sort of truncated flat ORANGE cone at the needle end, while the safety catch is the BLUE end. Sometimes they dont improve hours or days later. Talk with your doctor about how you can best control symptoms of your illness. But if you do this article can help make sure you know what to do. California Privacy Statement,
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