title: The EpiPen and the ischaemic finger.
abstract: 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.
authors.affiliation: Department of Accident and Emergency Medicine, New Cross Hospital, Wolverhampton, UK. talvinder13@hotmail.com
authors.forename: Talvinder
authors.initials: T
authors.lastname: Singh
authors.forename: Susheelwant
authors.initials: S
authors.lastname: Randhawa
authors.forename: Rakesh
authors.initials: R
authors.lastname: Khanna
mesh_terms: 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
chemical_list: D000316:Adrenergic alpha-Agonists; D000317:Adrenergic alpha-Antagonists; D004837:Epinephrine; D010646:Phentolamine