How to dilute and administer push-dose epinephrine

This short paramedic training video discusses one technique for preparing and administering push-dose epinephrine for patients in shock according to Los Angeles County EMS protocols. This video is intended for information purposes only and is not a substitute for standard training. Always follow your local policies and procedures.

[@GaMedic911]

Thank you! Great video. Here’s another idea… take your 1mg epi vial for anaphylaxis and draw then push that to your 100ml bag NS… then you have 10mcg per ml to draw and use as push dose pressor AND the full bag for IV drip to Titrate. 👍👍

[@Daniel.H.Garavaglia]

If you see this is about Paramedicine. LACFD has EMS Protocols. So no you can't do that as a drip to tritrate. Also it is harder to know how much you given unless there is a IV Pump not all EMS will have that.

[@jonathanmclean5807]

Just curious wouldn't be easier/better to instead of wasting 9mls of EPI into a container instead take a Normal saline flush, push out 1ml (9ml NS left) and use a 3 way stop cock connect to the flush and put the EPI on the other side and push 1ml into the 9ml NS flush and now you have the 100,000 made and you still have 9ml more of EPI still ready to go to make another batch if needed? Does that make sense?

[@RKLIFE17]

This is most common practice

[@Atonement46]

That’s what I do, but I prefer to use a needle instead of three way stop cock. Either works just fine though.

[@mackflickerson6722]

Yes. Waste the diluent, NOT the medication, whenever possibly.

[@JulianKlinger-z5i]

I am a german Paramedic, you can also take a 3-way valve between the Saline Syringe / Epi. Our Ambulances all in germany have to be Equipped with this valves.

[@nicolethurman5572]

Thank you!

[@Sabrina-jm4dc]

In our NRP class for L and D they have us push the epi, undiluted, fast....is diluting the epi for a different scenario other than a patient who is not breathing?

[@madgaara4989]

that's my question also, we've been pushing epi undiluted, but with 10ml flush