At Shady Grove Medical Center we use auto injectors for all anaphylaxis
treated with Epi (essentially - all anaphylaxis). Epipen Jr. under 25kg,
Epipen over 25 kg. It is to avoid administration errors. We dc with the
epipen or Jr. depending on weight as above.
Erik P. Schobitz, MD, FAAP
Pediatric Emergency Physician
MEP / Shady Grove Medical Center
9901 Medical Center Dr.
Rockville, MD 20850
On Tue, Dec 1, 2015 at 10:17 AM, Michael Falk <[log in to unmask]>
> In the ED or at discharge? In the ED, I still do weight-based to the max
> dose. And then d/c with the pen.
> Mike Falk.
> On Tue, Dec 1, 2015 at 8:48 AM, Rick Place <[log in to unmask]> wrote:
> > Many locations have moved to using either Epi-Pen or Epi-Pen Jr. for
> > treatment of anaphylaxis to avoid administration errors.
> > The Pediatric Section on Allergy and Immunology published comments in
> > and addressed the issue by recommending Epi-Pen Jr for 10-25 kg and Epi
> > for greater than 25kg. (Pediatrics 2007;119;638)
> > The use of Epi-Pen Jr in children less than 10kg is finessed in the
> > (many clinicians do it for safety reasons but the decision should be made
> > on a case-by-case basis - whatever that means).
> > My questions for the groups:
> > Are you routinely using the autoinjectors for over 10kg
> > What are you doing for less than 10kg?
> > Rick Place
> > Fairfax VA
> > For more information, send mail to [log in to unmask] with the
> > message: info PED-EM-L
> > The URL for the PED-EM-L Web Page is:
> > http://listserv.brown.edu/ped-em-l.html
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
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