The EpiPen and the ischaemic finger.
We present a case of a 24-year-old with a history of accidental injection of adrenaline from an EpiPen into the proximal aspect of her left index finger. Various methods were advocated to treat digital ischaemia but were of no benefit. Topical infiltration of phentolamine in 1 ml of lignocaine 2% was given at the puncture site with immediate results of resolution of digital ischaemia.
Singh
Talvinder
T
Department of Accident and Emergency Medicine, New Cross Hospital, Wolverhampton, UK. talvinder13@hotmail.com
Randhawa
Susheelwant
S
Khanna
Rakesh
R
D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage / Q000009:adverse effects*; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000328:Adult; D004837:Epinephrine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005383:Finger Injuries / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000139:chemically induced* / Q000188:drug therapy; D016602:Needlestick Injuries / Q000188:drug therapy / Q000503:physiopathology*; D010646:Phentolamine / Q000627:therapeutic use
D000316:Adrenergic alpha-Agonists; D000317:Adrenergic alpha-Antagonists; D004837:Epinephrine; D010646:Phentolamine