Talk:Digital EpiPen injection

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Overview

Epinephrine induced digital vasospasm using Phentolamine

Indications

For use when epinephrine is accidentally or inappropriately injected

Contraindications

Drug class allergy or non-ischemia.

Equipment Needed

10cc syringe, phentolamine, 1-2% lidocaine, 25g needle.

Procedure

Dilute 1.5mg of phentolamine mesilate in 1ml of 2% lidocaine. Inject subQ into the site and stop when tissue turns pink again. Observe and repeat as necessary.

References

<http://emj.bmj.com/content/21/3/387/> <http://emj.bmj.com/content/emermed/21/3/387/F1.large.jpg/>