Administration of Epinephrine by Emergency Medical Technicians

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Abstract
One morning, my wife motioned to me that she felt her throat tightening and was suddenly having difficulty breathing. With progressively worsening epiglottitis, she now had severe respiratory stridor due to laryngospasm. During the next few minutes, her condition rapidly deteriorated. As she gasped for air, I telephoned our 911 emergency-response line. Within six minutes, the first responders from our town's fire and police departments arrived, as did an ambulance staffed by basic-level emergency medical technicians. Twelve minutes after I summoned help, an advanced-level ambulance arrived, staffed by paramedics. Meanwhile, I injected epinephrine from an expired EpiPen Auto-Injector (epinephrine, 0.3 mg; Dey, Napa, Calif.) into my wife's thigh. Her breathing began to normalize within a minute.

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