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Guidance for compassionate restraint of small children to prevent injuries with epinephrine autoinjectors

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Without securing a child properly, injuries can happen with the use of pediatric epinephrine autoinjectors (EAI), and lacerations and embedded needles have been reported. Health care providers should ensure that instruction is provided to parents on how to hold a child during an injection with an EAI.


To demonstrate the compassionate restraint of small children during an allergic emergency to ensure the safe use of an EAI.


A patient was used to illustrate a compassionate restraint technique during a mock injection with an EAI.


One possible technique was illustrated here to reinforce the need for complete, yet compassionate restraint of small children during the use of an EAI. The exact position intended to be used by parents or caregivers will need to be practiced with their children to ensure a safe injection in the event of an allergic emergency.


Reinforcement of proper EAI use and visual guidance that illustrate compassionate restraint can potentially prevent EAI-related injuries.
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Document Type: Research Article

Affiliations: Institute for Asthma & Allergy, Wheaton, Maryland, USA

Publication date: 01 March 2018

This article was made available online on 29 November 2017 as a Fast Track article with title: "Guidance for compassionate restraint of small children to prevent injuries with epinephrine autoinjectors".

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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