Non-Auto-Injector Epinephrine Administration by Basic Life Support Providers: A Literature Review and Consensus Process.
Autor: | Lyng, John W., White IV, Chelsea C., Peterson, T. Quigley, Lako-Adamson, Heidi, Goodloe, Jeffrey M., Dailey, Michael W., Clemency, Brian M., Brown, Lawrence H. |
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Předmět: |
MEDICAL economics
PREVENTION of medical errors ADRENALINE ANAPHYLAXIS ATTITUDE (Psychology) CINAHL database CLINICAL competence CONSENSUS (Social sciences) COST control DECISION making EMERGENCY medical services EMERGENCY medicine HEALTH care teams INFORMATION storage & retrieval systems MEDICAL databases INJECTIONS INTRAMUSCULAR injections INTERPROFESSIONAL relations LIFE support systems in critical care MANAGEMENT MEDICAL personnel MEDICAL protocols PATIENTS PATIENT safety SYSTEMATIC reviews TREATMENT effectiveness EVALUATION |
Zdroj: | Prehospital Emergency Care; Nov/Dec2019, Vol. 23 Issue 6, p855-861, 7p |
Abstrakt: | Anaphylaxis is a life-threatening condition with a known effective prehospital intervention: parenteral epinephrine. The National Association of EMS Physicians (NAEMSP) advocates for emergency medical services (EMS) providers to be allowed to carry and administer epinephrine. Some states constrain epinephrine administration by basic life support (BLS) providers to administration using epinephrine auto-injectors (EAIs), but the cost and supply of EAIs limits the ability of some EMS agencies to provide epinephrine for anaphylaxis. This literature review and consensus report describes the extant literature and the practical and policy issues related to non-EAI administration of epinephrine for anaphylaxis, and serves as a supplementary resource document for the revised NAEMSP position statement on the use of epinephrine in the out-of-hospital treatment of anaphylaxis, complementing (but not replacing) prior resource documents. The report concludes that there is some evidence that intramuscular injection of epinephrine drawn up from a vial or ampule by appropriately trained EMS providers—without limitation to specific certification levels—is safe, facilitates timely treatment of patients, and reduces costs. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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