How To Use an EpiPen
Different types of adrenaline auto-injectors are available, but the most common ones are Epi-pen and Jext.
Remove the EpiPen from the carry case. Lie down with your legs slightly elevated to keep your blood flowing or sit up if breathing is difficult.
- Pull off Blue Safety Cap. Grasp EpiPen in dominant hand, with thumb nearest blue cap and form fist around EpiPen and pull off the blue safety cap. The easiest way to remember is “Blue to the sky, orange to the thigh”.
- Position Orange Tip. Hold the EpiPen at a distance of approximately 10 cm away from the outer thigh. The orange tip should point towards the outer thigh.
- Jab Orange Tip. Jab the EpiPen firmly into outer thigh at a right angle (90° angle).
- Hold firmly against thigh for 3 seconds. EpiPen should be removed and safely discarded. The orange needle cover will extend to cover the needle.
- Dial 999. ask for ambulance and state “anaphylaxis”.
Stay lying down or seated and have someone stay with you until you have been assessed by a paramedic. Unconscious casualties should be placed in the recovery position. Be prepared to start CPR if the casualty stops breathing.
As of 1 October 2017 schools are allowed to hold spare adrenaline auto-injectors without a prescription, for use in emergencies.
NEW LEGISLATION ALLOWS “SPARE” EMERGENCY ADRENALINE AUTO- INJECTORS IN SCHOOLS New legislation has been passed in Westminster allowing schools in the UK to keep spare adrenaline auto-injectors (AAIs) for emergency use starting from 01 October 2017. AAIs deliver a potentially life-saving dose of adrenaline in the event of a severe allergic reaction (anaphylaxis).
A working group, made up of representatives from the Anaphylaxis Campaign, Allergy UK, the British Society for Allergy & Clinical Immunology (BSACI), the British Paediatric Allergy Immunity and Infection Group (BPAIIG), and the Royal College of Paediatrics and Child Health (RCPCH), campaigned for the Government to amend the Human Medicines Act to allow schools to buy AAIs from a pharmaceutical supplier, without prescription, for use in emergencies. The working group and their respective organisations have welcomed the new legislation which allows school staff to administer an emergency AAI to any child who has been assessed as being at risk of anaphylaxis.
Over 1600 parents/carers and 800 teachers completed a survey in 2015 to assess backing for the campaign and over 99% of parents and 96% of teachers supported the proposal. The survey formed a crucial part of the evidence presented to the Department of Health. A public consultation conducted by the Department of Health this year also found overwhelming support for a change in the law to allow schools to hold spare AAIs, without a prescription, for use in emergencies.
A joint statement from the five organisations says:
“The rise in food allergy among young people is posing a significant risk for schools who can be faced with a life-threatening situation requiring urgent action. One in five fatal food-allergic reactions in children happen at school. Schools can now purchase the first-line treatment for anaphylaxis, without a prescription. While not compulsory, we hope many schools will take advantage of this change as part of their duty of care tp those children who are at risk of anaphylaxis. This is likely to increase awareness and highlight the need for staff to be trained to recognise and treat anaphylaxis in school.”