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Epinephrine

Paramedic and ACLS instructor Jay Van Zeeland summarizes the ACLS protocols
Four distinct events must occur in order for an anaphylactic reaction to manifest
Should we overhaul our protocols? What we’ve learned about STEMI, OHCA ROSC from the PEACE study
The shortage is one of several that have hit the drug market recently, prompting lawmakers to call for officials to address gaps in pharmaceutical manufacturing
FDA Commissioner Scott Gottlieb said the approval is part of a “longstanding commitment to advance access to lower cost, safe and effective alternatives”
Our co-hosts discuss a recent study out of the UK that puts the use of epinephrine in prehospital cardiac arrest patients into question
New research questions whether pharmacotherapy in cardiac arrest is effective at ROSC and long-term survival
The study showed a lack of ‘clear improvement in functional recovery’ in patients treated with epinephrine
One county in Texas found a cost-effective way to get epinephrine in the hands of those first to arrive to allow them to treat patients quicker
King County, Washington successfully introduced hand-drawn epinephrine to EMTs for severe allergic reactions and anaphylaxis
Curaplex Epi-Safe injection kits developed specifically for EMS can help agencies cut costs while improving patient care
Using medical training he learned at summer camp, the eighth-grader took an EpiPen and injected it into his friend’s leg
Symjepi is a spring-loaded syringe filled with a set dose that comes with a training device
The legislation aims to boost access to the medication and help patients get it at the best available price
Gov. Paul LePage said people with allergies have “done nothing,” but have to pay for it
Some doctors — frustrated by what they see as unreasonable price tags and political stagnation — are coming up with do-it-yourself solutions
The program offers an epinephrine kit free of cost to those with insurance or families who make less than $100,000
CVS says the new price it is charging for the Adrenaclick generic applies to both insured patients and those who pay cash without coverage
Measuring the time to epinephrine administration as a continuous variable shows time-dependent nature of epinephrine administration
Under existing law, paramedics may administer the drug but police officers aren’t allowed
The company will charge $300 for the generic version of its lifesaving injections
In-hospital cardiac arrest research shows strong association between epinephrine and decreased odds of ROSC and good neurologic outcome
The amount Medicare and Medicaid spent on EpiPens rose to $486.8 million in 2015 from $86.5 million in 2011, a jump of 463 percent
The senators requested that the Department of Justice investigate whether or not Mylan underpaid Medicaid rebates of EpiPens
Let us know what your EMS agency is doing to combat the EpiPen price hike
Officials said the rising cost of EpiPens played a factor in allowing EMTs to draw up the drug with syringes
Heather Bresch maintained that her company doesn’t make much profit from each emergency allergy shot
The price for a two-pack of EpiPens is currently $608; here’s a roundup of states that allow EMS personnel to draw up epi from an ampoule or vial
A preliminary review showed the company “may have inserted potentially anticompetitive terms” into sales contracts with many school systems
EMS leaders need to add expert perspectives and data to the EpiPen media firestorm with these distinct outcomes in mind
By switching to “Check & Inject” kits, the agency will save around $40,000
Following the example of Washington State, a pilot program is testing phasing out EpiPens in EMS
The generic will be identical to the branded product in terms of functionality