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Epinephrine, The Industry's Unspoken Secret
Abstract and Figures
Why is the issue of epinephrine so controversial and confusing? To carry epi or not to carry epi? The prime deciding factor should be making a sound medical decision - while keeping the potential legal implications in mind. This article discusses questions to consider if your outdoor program carries or is considering carrying epinephrine. Located on pages 8-10.
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The Epinephrine Roundtable took place on July 27, 2008, during the 25th Annual Meeting of the Wilderness Medical Society (WMS) in Snowmass, CO. The WMS convened this roundtable to explore areas of consensus and uncertainty in the field treatment of anaphylaxis. Panelists were selected on the basis of their relevant academic or professional experience. There is a paucity of data that address the treatment of anaphylaxis in the wilderness. Anaphylaxis is a rare disease, with a sudden onset and drastic course that does not lend itself to study in randomized, controlled trials. Therefore, the panel endorsed the following position based on the limited available evidence and review of published articles, as well as expert consensus. The position represents the consensus of the panelists and is endorsed by the WMS. In 2014, the authors reviewed relevant articles published since the Epinephrine Roundtable. The following is an updated version of the original guidelines published in Wilderness & Environmental Medicine 2010;21(4):185-187.
Copyright © 2014 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.
There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis. In July 2005, the National Institute of Allergy and Infectious Disease and Food Allergy and Anaphylaxis Network convened a second meeting on anaphylaxis, which included representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition of anaphylaxis, establish clinical criteria that would accurately identify cases of anaphylaxis with high precision, further review the evidence on the most appropriate management of anaphylaxis, and outline the research needs in this area.
Epinephrine: Medical & ethical necessity of legal nightmare
- R Curtis
Curtis, R. (2015, March 25). Epinephrine: Medical & ethical necessity of legal
nightmare. www.outdoored.com/articles/epinephrine-medical-ethicalnecessity-or-legal-nightmare
Where are we now? Epinephrine and outdoor programming 2014. Presented at the Wilderness Risk Management Conference
- S Hawkins
- D Yacubian
Hawkins, S. & Yacubian, D. (2014, October). Where are we now? Epinephrine and
outdoor programming 2014. Presented at the Wilderness Risk Management
Conference, Atlanta, GA.