Q: Can a group of field researchers, certified in basic first aid, be allowed to have an epipen in a first aid kit at the location. There are no individuals with known allergies or prescription for epipen, but they will be in a remote location (2-6 hrs from emergency medical services.
If you are trained to identify anaphylaxis and properly use the device, I would argue, yes. I have been reviewing the experience of organizations that sponsor our courses. Even at the first aid level more then a few have used epinephrine accurately and successfully. Although less frequently, they have administered epinephrine in circumstances where a person with a history did not have the injector and in people who have not had a reaction previously.
I would argue that epinephrine use is first aid for properly trained individuals working in remote environments. The major problem is state law. I don’t know the rules, if there are any, in CA.
If you decide to use epinephrine, make sure that you do your due diligence and have a workable and useful risk management process. Make sure everyone is trained. You might consider including a yearly review. Have a good way to store the med, monitor its expiration date and properly dispose of expired and used injectors. Also, engage whomever writes your prescriptions to review every instance where it is used.