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Survey of the use of epinephrine (adrenaline) for anaphylaxis by junior hospital doctors Jose R; Clesham GJPostgrad Med J 2007[Sep]; 83 (983): 610-1BACKGROUND: Anaphylaxis is a life threatening reaction where prompt and appropriate management can save lives. Epinephrine (adrenaline) is the treatment of choice; however, the recommended dose and route of administration of epinephrine used in the management of anaphylaxis is different from that used in the management of cardiac arrest. OBJECTIVE: To investigate how junior doctors would administer epinephrine in a case of anaphylactic shock in an adult patient. METHODS: Junior medical staff in two district general hospitals were assessed with a short questionnaire. RESULTS: 95 junior hospital doctors were assessed. The majority (94%) would administer epinephrine as the life saving drug of choice, but only 16.8% would administer it as recommended by the UK Resuscitation Council Guidelines. CONCLUSION: Junior doctors may be called to make immediate management decisions in patients with anaphylaxis; however, widespread confusion exists regarding the dose and route of administration of epinephrine. Strategies to improve education and access to appropriate drugs are needed. A labelled "anaphylaxis box" on every resuscitation trolley, containing the dose of epinephrine with clear labelling for intramuscular use, may be one solution.|*Medical Staff, Hospital[MESH]|*Professional Practice[MESH]|Administration, Cutaneous[MESH]|Adrenergic Agonists/*administration & dosage[MESH]|Anaphylaxis/*drug therapy[MESH]|England[MESH]|Epinephrine/*administration & dosage[MESH]|Hospitals, District[MESH]|Humans[MESH]|Injections, Intramuscular[MESH]|Injections, Intravenous[MESH]|Wales[MESH] |
