Medical Student Oakland University William Beaumont School of Medicine Berkley, Michigan, United States
Background: Anaphylaxis is a significant emergency where time is of the essence. Lack of early treatment with epinephrine can have negative effects to some individuals. Studies have shown that prehospital epinephrine administration has been historically low by the individuals having the reaction, their caregivers, or emergency medical service personnel. With rising anaphylaxis cases, it becomes more imperative that there is appropriate administration of epinephrine to improve outcomes in both pediatric and adult populations. Objective: The objective of this study is to describe prehospital intramuscular (IM) injection rates of epinephrine for anaphylaxis. Secondary objectives are comparing rates of IM epinephrine before ED to during the ED visit, identifying potential trends, comparing use of epinephrine for children with adult care to identify any potential age bias, and describing updated demographics of these patients with anaphylaxis. Design/Methods: This study is a retrospective chart review from January 2010 to January 2020 from patients who have received a discharge diagnosis of anaphylaxis from the ED in metro Detroit area. Inclusion criteria transportation for this chart review is the mode of arrival (EMS vs other), medications given (prehospital vs hospital), and demographics. This study has received IRB approval to collect retrospective data from patient charts and EMS run reports. After completion of data collection, statisticians from Oakland University William Beaumont School of Medicine will perform data analysis, which is projected to be done by end of February 2024.
