Q: We are moving from epi auto injectors to epi vials and I am working on updating our protocol. Do you have a protocol for vials?
The protocol for treatment would be the same except for the actual steps of drawing up the medication. You might want to consider a policy that addresses purchase, storage, disposal, training (I would refresh yearly), monitoring for expiration dates, and usage review (all allergic reactions whether or not meds were used). With vials, I would suggesting adding that each should be discarded after being used for an episode of anaphylaxis (however many are needed for the episode). With amps, I would use each for one injection. In both cases, medication will be wasted but you will decrease the likelihood of contamination. Given the relative costs compared to autoinjectors, they still remain very cost effective.
Click here to access the Wilderness Medical Associates’ Field Protocols, including Protocol 1: Anaphylaxis.