Tue, 6 Nov 2012|
Mike McEvoy discusses changes in newer packs of epinephrine pens, training on using them in emergency situations, and tips to keep responders safe.
[BLANK_AUDIO] [MUSIC] Hello, welcome to training minutes. Today I wanna talk about Epipen's, epinephrine delivering devices that many of us use in a pre-hospital environment. To give adrenaline to patients with asthma, with allergic reactions, and other conditions that require that sort of medication. It's time to throw out your old epinephrine, epi-pen trainers that look like this and open the box that you've gotten in the last year from the manufacturer and discover the new trainer and the new pens that are being packaged in the container. Most EMS units carry a two pack. Of Epipen Adult and Epipen Junior, similar to this, which now contains a clip that holds the two pens together. It also, in the pack, contains a trainer that you can use to get up to speed on the new pens themselves. Unlike the previous product. The new device comes inside of a protective case that can be used as a sharps disposal once the pen is actually used on a patient. So its no longer necessary to package your EPI pens with a sharps disposal container. Let's look at the trainer. The trainer is very similar to the old pen. And the administration is exactly the same, but you'll notice that instead of a black tip, they've colored the tip orange which should signify that that's not the side that you wanna hold your finger or your thumb on. That's the side that's going to administer the needle to the patient. We'll pull the blue top off to activate the pen. Similar to the old epinephrine pen which had a grey top. And we'll administer the pen in exactly the same fashion as we had previously done, which is to place it on a large muscle, preferably on the thigh. And you can do this right through the clothing. There's no need to pull off a patient's clothing unless it's very thick clothing. And, with a downward firm pressure, you're going to administer the Epinephrine to the patient. Now, notice, I pushed down, I heard a click from the pen, which means that the needle has entered the skin, and I need to hold the pen in place for at least 10 seconds so that the Epinephrine dose is delivered. into the muscle of the patient. Once you've done that, you pull the pen back, and you'll notice that in the new epipen the needle has been covered by a retracting orange piece of the pen. Now in the trainer device, you can reset that by squeezing the orange piece and resetting it into the pen. In the standard epipen, the non trainer device. You'll find that this cover has now permanently protected the needle, and you're ready to take the pen and place it into the sharps disposal container that it came with. So, take a look at your new Epinephren pens, and look for the trainer that's inside the packaging. Put it out for your members, use it at a drill. Make sure that people are aware of the change in the product. Again, you want to caution your members that we repeatedly across the United States see incidences of people delivering epinephrine pens in the wrong direction. And placing their thumb on the part of the pen where the needle comes out, which is not something that you wanna do in an emergency situation. epinephrine in a digit like a thumb or a finger can cause necrosis, and can cause damage to the tissue. So if that's an injury that one of your members sustains, you definitely want some medical care to follow up on that. Thanks for watching training minutes. I'm Mike McEvoy, the EMS editor of Fire Engineering. [MUSIC]