Allergy
Capital
Using the EpiPen Autoinjector device (adrenaline,
epinephrine) to treat severe allergies - a pictorial guide

Adrenaline (epinephrine) is a natural hormone released in response
to stress. It is a natural "antidote" to the chemicals
released during severe allergic reactions triggered by drug allergy,
food allergy or insect allergy. It is destroyed by enzymes in
the stomach, and so needs to be injected. When injected, it rapidly
reverses the effects of a severe allergic reaction by reducing
throat swelling, opening the airways, and maintaining blood pressure.
Use of adrenaline for treating anaphylaxis is First
Aid.
Revised 22 October 2005




IMPORTANT The information provided is of a general
nature and should not be used as a substitute for professional
advice. If you think you may suffer from an allergic or other
disease that requires attention, you should discuss it with your
family doctor.
Intact (top) and dismantled
EpiPen (below) to show the spring, needle and syringe that is
enclosed within the device.
New
Epipen Packaging (October 2005)

Remove the device from the plastic protective container.

Remove the grey cap from the fatter end of the device.
NB: This "arms the unit" ready
for use

Hold the EpiPen in your fist with clenched fingers
wrapped around it
(NB: there is nothing to "push"
at the white end)
Press the black tip gently against the skin of the
mid thigh, then start to push harder until a loud "click"
is heard. This means that the device has
been activated.
Hold in place for 10-15 seconds (count "1 elephant, 2
elephants, 10 elephants etc") while the adrenaline is injected
under pressure.
NB: The EpiPen "pop" is often
quite loud.

Remove the pen from the thigh; be careful with the
needle that will now be projecting from the EpiPen when you dispose
of the device.
Massage in the adrenalin. There may be some slight
bleeding at the injection site.
Apply firm pressure with a cloth, tissue, clean handkerchief
or bandage.
Record the time that the EpiPen was given.
Call for help.
DISPOSE of the used EpiPen carefully into a sharps container,
and hand to ambulance officers with a copy of the Emergency Action
Plan when they arrive.
There are a number of common
mistakes when using EpiPen.
Click HERE to view an illustrated guide of what NOT to do!!
You can also register with
CSL Australia to be reminded about whe your EpiPen is due to expire.
Visit "EpiClub"
References
- The use of epinephrine in the treatment of anaphylaxis. Position
Statement of the American Academy of Allergy, Asthma and Immunology
October 1994. J Allergy Clin Immunol 1994; 94: 666-8 (web
link)
- Position Statement. Anaphylaxis in schools and other child-care
settings. J Allergy Clin Immunol 1998; 102: 173-6.(web
link)
- Management of children with potential anaphylactic reactions
in the community: a training package and proposal for good practice.
Clin Exp Allergy 1997; 27: 898-903.
- Pumphrey RSH. Lessons for management of anaphylaxis from
a study of fatal reactions. Clin Exp Allergy 2000; 30: 1144-50.
- Ewan PW. ABC of Allergies: Anaphylaxis. BMJ 1998; 316: 1442-45.(Web link)
