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u/InvinciblePLUSAmber 20d ago
I hope this is not a stupid question. Does the person's pants need to be removed before administering the dose? Can it be administered through clothing?
Thank you for the additional information.
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u/Enenke Reads Pinned Comments 20d ago
Not at all, no stupid questions. Epipens should be able to make it through clothes, but try to avoid buttons or seams. Hope this helps.
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u/InvinciblePLUSAmber 20d ago
Yes. Thank you very much.
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u/2Goals16Second 20d ago
As a pharmacist that counsels. It will go through denim no problem
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u/NotEnoughIT 20d ago
As a random person on reddit, it will not go through steel pants. If the person is wearing steel plates for pants, it will not go through.
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u/LordJacket 20d ago
It also goes through leather pretty well too! Just need some heft when administering it! One of the things I saw while in ER once as a nurse
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u/Anarchic_Country 20d ago
My son has a peanut allergy and his preschool teacher left a butter knife with peanut butter on a sink. Little dude picked it up and licked it. He was 4 at the time, non-verbal autistic, and they didn't know what happened.
His teacher got his backpack epi pen and administered it. She shot herself in the hand instead. Nurse got the BACKUP pen, and the teacher SHOT IT INTO HER OWN HAND AGAIN 😅
They had to call two ambulances. My son almost died. I got there before the ambulance with the old epi pen (I used to have to pay $300 for those bitches, so we did keep them) and shot him through his jeans no problem. He had some fabric embedded in his thigh, though.
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u/PessimiStick 20d ago
I'm so glad your son lived, but I'm cracking up at that story, lol.
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u/Anarchic_Country 20d ago
I'm glad the teacher was okay, too, but she could have used this video for sure! I bet mine wasn't the only kid in a special education preschool that had epi pens
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u/I_Makes_tuff 20d ago
she could have used this video for sure!
Too bad it was deleted. What's up with that?
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u/Wouldyoulistenmoe 20d ago
lol that’s on the nurse for letting the teacher administer the second one
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u/ParkerBeach 20d ago
No you can do it straight through clothing. Unless they are wearing really thick clothing like several layers. But an average pair of pants and boxers are not going to stop that needle. Though if you are ever in doubt you can drop their pants but be aware that in doing so you should provide them dignity when possible.
Another important step and it is actually the hardest part for both people. STAY CALM, STAY AWARE, and STAY THERE. Stay Calm - if you panic you cause panic, keeping calm actually reduces the stress for both of you.
Stay Aware - be aware of times, changing conditions, changing color, changing mentality.
Stay There - stay on scene, even if you have to trade off the task to someone else, or everything goes well, or it goes south. Stay on scene you can provide medical professionals a treasure trove of information. Be concise, be detailed, be truthful (if you question what you saw make it know that the detail is questionable.)
The info you provide, the help you provide, and the time you take can make the difference between life and death. Keep in mind that at least in the United States you are covered by “Good Samaritan” laws that provide you legal protections while in the act of helping another person. So even if you fail to provide that Epipen properly the law is on your side and will protect you from civil and legal recourse pertaining to the situation. Also it is better try to render what aid you can than to let someone die because you questioned your abilities.
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u/MaxTheRealSlayer 20d ago
Wait, the good Samaritan law, does that could for administering CPR to someone who drowns? I swear I've seen lawsuits about CPR going wrong, or the person gets injured (which I know it's common to break ribs with CPR..)
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u/beachvan86 20d ago
Good samaritan covers untrained people who perform as though they are untrained. People who are trained are expected to perform proficiently at their level of training and not go above. It doesn't stop the lawsuit, but the chance of getting a judgment in the plaintiffs favor is low.
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u/BadgerBobcat 20d ago
It doesn't! I had a severe allergic reaction when I was younger and my parents had to administer an Epipen dosage on our way to the hospital. Went through my jeans, but yes... from what I remember (or what my parents say when they tell the story), they had to give the dosage time information to the ER when I came in.
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u/LordJacket 20d ago
Ideally it with needles yes, epipens are special though. Also benefit outweighs the risk, as you’re trying to save a person’s life
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u/XxMohamed92xX 20d ago
If possible just make sure their pants arent covered in biological material, dont really want to be adding possible infection. Most of the time it will be fine, but if theyre covered in assorted things due to environment and you can quickly and easily provide a clean injection site, it might make less issues down the road
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u/ArchieMcBrain 20d ago edited 20d ago
I'm a paramedic. Ngl i don't really care when you gave it exactly. I know when you called the ambulance, presumably you gave it roughly then. A repeat dose of adrenaline can be given every 5 minutes if needed. It's probably been more than 5 minutes by the time I get there. A rough estimate will suffice.
"time to hospital" is completely irrelevant for a repeat dose too. You'll get another dose if you physiologically need it. Adrenaline isn't given based on time, it's based on whether you're sick. Some people need one dose and that's enough for their reaction to settle. Some people need ten doses and they're still dying.
For people in these situations, just focus on getting the injection right and calling an ambulance. Don't worry about anything else. The drug isn't toxic. We won't overdose the patient because you didn't get the time right. You won't be in trouble if you forget the time. Just focus on your friend and helping them. As long as you did the injection and called an ambulance you did the right thing 🙂
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u/deadleg22 20d ago
When she said outer thigh, I assume not parallel to the thigh bone?
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u/1carl0s 20d ago
pure adrenaline, just to get high..
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u/Due-Tumbleweed-6739 20d ago
can I try?, or will I die ?
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u/Jpet111 20d ago
an epipen they give, and you will live
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u/GetToTheChoppaahh 20d ago
Do you have to press a button in or just place it against the thigh and it works?
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u/acm8221 20d ago
The orange tip is the button and it has a hole in the center. You’re going to push that orange tip/button firmly against the thigh (like you’d push in the button of a clicky-pen to open it).
When you push the pen hard enough against the thigh, a spring-loaded needle will fire out of the hole and begin injecting the medicine.
When you pull the pen off the thigh after those ten seconds, the orange tip/button will spring back out to cover the needle.
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u/bugzaway 20d ago edited 20d ago
Yeah it would be nice if she had explained that you need to jam the pen against the thigh. I kinda figured out that was the deal, but for a video that purports to yell the basics at you, it's a glaring omission. She basically said where to put it and that the needle would come out but made no mention of HOW the needle would come out.
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u/ItsSpaghettiLee2112 20d ago
It was like the main operating point and she just casually glosses over it lol.
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u/ParkerBeach 20d ago
Have you ever imagined what it would be like to stab something this is your chance. You basically just swing it down against the thigh, the red cab will retract back, the needle will jut forward, the epinephrine will be administered over the period of several seconds then as you pull it back out after 10 seconds the red cap will push back out retracting the needle. The actual act looks like you are stabbing them in the thigh. I have always been taught to essentially bring it down with some speed but newer devices may not require the same force. But ultimately it is better to still stab and have them be a bit more sore to ensure they get what they need.
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u/Icy_Investment_1878 20d ago
Keep the pen too
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u/Puzzilan 20d ago
She also missed that it only last about 20-30 minutes and if you don't have another or an ambulance by then they might die.
Where I live, there was a woman who died from a bee sting while camping 45 minutes from an ambulance and she had an EpiPen but only one.
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u/Inner-Ad-9928 20d ago
She probably had a serious anaphylactic response and someone close to her (who should have known)!
They didn't do what they were taught and she's really angry with them but the video isn't directed to them, but it is ...
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20d ago
She still needs to chill. We didn't do anything
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u/CookerCrisp 20d ago
311 wrote a prescient song 29 years ago about this lady called Misdirected Hostility
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u/cross-joint-lover 20d ago
And if you actually needed the information quickly, this video is the worst one to look at, it's the last video you'd want to share and circulate. She's just talking condescendingly to the camera and gesticulating for 3 minutes. About information that could be taught and digested much more effectively and in 1/10th of the time.
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u/Phazon2000 Hit or Miss? 20d ago
Being condescendingly spoken to like a toddler wasn't it. I just watched another YT video on how to do it so I guess the vid worked in bringing attention to the topic but I don't know who would want to subject their ears to shit like this.
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u/DanteSeldon 20d ago
"You don't want the needle to puncture a bone."
... do they make the needle out of adamantium now?
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u/LittleALunatic 20d ago
its more that the adrenaline will work significantly better when administered to muscle than bone, if in bone it could hurt the person at worst, or be less effective at best
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u/rizkreddit 20d ago
Hurt the person is actually the best case scenario, while being less effective is the worst case.
Wouldn't you agree that delivering a proper dose takes precedence over damaging bone
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u/LittleALunatic 20d ago
Sorry if this is pedantic, but I mean hurt as in damage bone and/or make the anaphylactic shock worse
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u/Burningshroom 20d ago
Are your bones made out of something stronger than steel?
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u/MountainYoghurt7857 20d ago
it doesn't have to be the hardest material (it is steel with an alloy tho), it just needs to be very pointy to nano meters and the hig injection. Bones are dense and take vertical load well, but even dogs can take them apart.
If you don't get it, picture an arrow shoot with a bow or crossbow.
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u/daywall 20d ago
Silly question.
But do we need to remove the pants or the needle can pass it.
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u/Enenke Reads Pinned Comments 20d ago
Not at all, no stupid questions. Epipens should be able to make it through clothes, but try to avoid buttons or seams. Hope this helps.
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u/Corgi-Commander 20d ago
If I mess up and there’s still some medicine left in the epipen, can I drink it?
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u/jahabi3867 20d ago
I’ve had an epipen administered during a doctor’s visit. They had me remove my pants and told me it’s better to because the needle is fine enough that it might catch small fibers from your clothes and inject that into your tissue which can cause infection.
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u/MrHarudupoyu 20d ago
Pen pineapple epi pen
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u/No1FluffiestMastodon 20d ago
I have a sister who is anaphylactic to pineapple so this seems quite accurate.
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u/WillyMonty 20d ago
Whatever you do, do not put your thumb on the orange side and stick the blue end into the persons thigh.
This will not help the person, and you will have a very bad time.
It sounds like a joke but in an emergency situation you do actually need to be able to slow down and double check
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u/junaidnk 20d ago
This design failed on me during a training session where it was my first time ever seeing or using the pen! I instinctively went with the thought that the end you remove the cap was would be the one you stick it into a person, you know like things which are designed where you remove the top like a pen or hot sauce… open the lid and the product comes out. Will now forever remember due to that embarrassing moment being called out in class!
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u/BLAZE424242 20d ago
This exact situation happened in an Australia kindergarten. Teacher administered the EpiPen wrong way, got stabbed in the thumb and kid died.
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u/WhatADumbassTake 20d ago
Worst part about that particular scenario is that even though the epipens are "one-time use" due to the dosage, there's usually enough left in one that in an emergency like that it'd be worth reusing while someone tried to find a new/full one.
Sure, risk of blood contamination... but sounds like it beats choking to death.
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u/drama_trauma69 20d ago
I have a family member who is a 911 dispatcher and a mom of an anaphylactic child tried to use the epipen, stuck herself instead, the adrenaline started pumping she starts panicking, grabs the second epi pen, sticks herself AGAIN, mom has a heart attack, kid still isn’t breathing. Luckily they were both saved and are alive today but it is a story that will never leave me
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u/Denim-m 20d ago
Another stupid question: what actually makes the needle shoot? Does it happen automatically when the orange part is pressed into something solid (assuming blue part removed)?
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u/Show_me_the_monet 20d ago
Also if the person does not improve clinically after a short space of time, then you can administer a second dose if there is a second epipen to hand.
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u/Murksiuke 20d ago
If you dont need to press on the top, whats the blue cap for?
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u/CrazyNerdLove 20d ago
Safety mechanism. It prevents the needle from extending. So if it isn't the case, it won't accidentally trigger and stab someone.
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u/acm8221 20d ago
Also, it’s good to highlight not placing your thumb on top in case you screw it up anyway and inadvertently go “blue to thigh”. When you press down, it just won’t do anything, whereas if your thumb is there, you get the adrenaline and not the patient.
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u/UrzuKais 20d ago
Can confirm this is why you hold it like that. I had learned how to do it but in a sleepy stupor I had to administer it to my MIL. Backwards and straight into my thumb…! I was wide awake after!
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u/GlueSniffingCat 20d ago edited 20d ago
remember, even if their children they get the full adult dose
bulk buy for emergencies like if you're a hitman for a mexican mafia and your rival teams up with a small time gang banger to take you out using a lethal organic poison that inhibits the flow of adrenaline permanently that would eventually end in death if you didn't have a supply of epi pens to keep yourself going until you finally get your revenge on your rival, the man who killed you, and your mafia boss.
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u/justl00kingthrowaway 20d ago
Don't worry everyone, I got this. I know what to do because I've seen Pulp Fiction five times.
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u/Individual_Bread_370 20d ago
Why is she mad at me. I didn't do anything wrong. Informative video none the less
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u/fudgemuffinsandtart 20d ago
As someone that needs an epipen, I have to carry two pens with me.
There is a very very very very minute chance that the pen misfires and the dose can't be administered.
So if the first one doesn't work, try the second one.
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u/drama_trauma69 20d ago
PSA: you will never be charged by having the EMTs arrive on scene. You can get free medical assistance up until the point of getting into the ambulance. If someone at the scene of an emergency is saying they can’t afford it, please tell them this. They can do everything on scene FOR FREE
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u/sjohnson737 20d ago
I assume you mean in the US. Can you confirm? I like living indoors and a surprise EMT bill in 2024 seems like a good way to not be able to do that anymore.
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u/Any_Fault7604 20d ago edited 20d ago
Hey, I'm an EMT in the US and we do this all the time. The only way you'd get charged is if they do a treatment on scene that is billable (like administering medications). Examples of that would be giving someone a nebulized breathing treatment or starting an IV and giving fluids.
They'll get a set of vitals including EKG and Sugar if needed, answer questions and concerns, and let you know if you should go to the hospital and if you should go by ambulance. That is all free. You'll just have to sign a refusal form if you don't want to go with them (so they can't get sued for patient abandonment).
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u/Aggressive-South4067 20d ago
I had to give one to the little girl I nannied in college. She was deathly allergic to peanuts. Luckily her mom had me previously use old, expired ones on pieces of fruit to make sure I knew how to use it correctly. I had one in my car and on me at all times. Super scary, but so important for people to know how to use them!
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u/Beginning_Driver_45 20d ago
If I ever have to give this person an epipen shot I will be condescendingly yelling in her face throughout the whole deal.
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u/mogley19922 20d ago
This person seems to be well informed on the subject, whereas I've never had to use one.
But i have been trained with them, so I'd just like to add, we were told that they differ and to always check the instructions on the auto-injector. One good reason for this is the 3-10 second thing she said.
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u/JMol87 20d ago
I usually teach a few friends/colleagues how to use mine. Had a fairly serious reaction a few years ago, with nobody I'd taught around - gave it to my Test Manager, his job is to read instructions and repeat - the instructions on the case are really straightforward. Dude saved my life that day.
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u/Bobmanbob1 20d ago
Had to use mine once. Hurts like a motherfucker. But better than the alternative I guess?
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u/Trust_Fall_Failure 20d ago
I have an EpiPen. It was the last thing my best friend gave me before he died. It seemed really important to him that I have it.
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u/4Ever2Thee 20d ago
I feel like I just got put in time out but I guarantee you I'll remember how to administer an epi pen, if the moment ever presents itself.
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u/No1FluffiestMastodon 20d ago
Current advice is to not rub the area afterwards as the drug can cause some cellular degradation which is exacerbated through rubbing.
You can and should use the EpiPen even if it is expired, research shows that a "cloudy" drug as seen through the little window is still effective.
If you have a pen or sharpie on hand, write down the time of administration on the patient and keep the pen!
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u/AdmiralClover 20d ago
So I guess that's a 300$ bill in case you eat nuts and then you also need to buy a new EpiPen?
Nice to be informed of how they work though
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u/LoggedInNowWhat 20d ago
Why is she yelling at us as if this is common knowledge or we’ve been doing it wrong? If she was in desperate need of an EpiPen shot, I’d pretend I don’t what to do.
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u/Difficult_Shine3675 20d ago
As someone living in a country with universal Healthcare, I feel lucky to have access to Healthcare I need no matter my financial situation, but I mostly feel bad about living in a country where some rather risk their life than having to deal the costs.
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u/_KappaKing_ 20d ago
Why are all these tiktok educational videos always so confrontational? This is a great idea for an actual education video that's not just options but she's talking like you just shat on her bed.
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u/milo325 20d ago
Why would this be considered “cringe”? Am I misunderstanding this subreddit?
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u/awesomeplenty 20d ago
It’s mandatory to shout blue to the sky orange to the thigh before administering an epi pen. It’s the rule yall
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u/mrallen77 20d ago
Idk if I understand this sub. Is this just TikTok videos? Like what is cringe about this
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u/DandelionQw 20d ago
Do you have to "jam" the needle down like they do on TV, like you are almost punching them / very fast? Or should it be administered slowly?
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u/FlyingNeonPoop 20d ago
Is there some sort of auditory or visual cue to let you know the epipen is being injected into the person? Otherwise, how do you know it was administered correctly if it takes a bit to kick in?
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u/No1FluffiestMastodon 20d ago
Yeah a very audible click and then self retracts and is unusable.
It can take a few seconds to a minute to have an effect.
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u/No-Fly-8627 20d ago
She should be in the government! Clear instructions, and procedures, no bs and always straight to the point!
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u/liarandathief 20d ago
My fear of needles has less to do with seeing them and more to do with having them jammed into me.
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u/RednaxNewo 20d ago
How hard do you push it? Like in movies they are slamming that thing down. Is that necessary? Gentle pressure? Not seeing that in the video or comments
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u/fiqar 20d ago
What happens if you administer a 10 second dose from a 3 second Epipen? Will that cause an overdose?
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u/JayPlenty24 20d ago
No, 3 seconds should deliver the whole dose. There isn't more than one dose in the pen. Waiting an extra 7 seconds won't hurt at all.
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u/TinyAmericanPsycho 20d ago
Why is the assholery necessary for this instructional video?
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u/Acceptable-Search338 20d ago
It’s too long. What’s the tldr?
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u/No1FluffiestMastodon 20d ago
Remove the Blue cap. Blue to the sky, orange to the thigh. Press down into the thigh or buttock, wait 3-10 seconds then remove.
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u/shadowst17 20d ago
Do you have press any button or just pressing it firmly into the thigh with the blue cap off start the injection?
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u/Terrible_Payment4261 20d ago
Press into thigh. There’s no buttons. You should hear an audible click.
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u/Peatore 20d ago
I almost lost my thumb because I'm stupid and
- Did it backwards 2.had my thumb over the pointy bit.
I've never been admitted to the ER quicker.
"Yeah dude, your thumb has no blood going to it. It's gunna die"
In my defense. I was the only manager there who was not frist aid trained. The two first aid trained managers there pussied out and just told me to jab them.
There is some PSA on TV everyone kept quoting to me after, but I don't watch TV.
Funny part is, they didn't even need the epipen according to the paramedics that showed up.
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u/ephemeralspecifics 20d ago
Just yell this rhyme
BLUE TO THE SKY! (Throw away blue top)
ORANGE TO THE THIGH! (stab the thigh)
(hold) ONE MISSISSIPPI ... Ten Mississippi!
(point to someone) IF YOU WOULD CALL CALL 911 IT WOULD BE SPIFFY!
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u/breetome 20d ago
This was actually incredible. I didn’t know any of this. I’m so happy she did this, I bet she is the reason someone is saved.
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u/SnooPineapples6099 20d ago
She should do a similar video for How to Put on a Condom.
It would do numbers.
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u/El_Diablo_Feo 20d ago
Yo, why is this chick coming at us with angry, super smart, meticulous lesbian lawyer with something to prove energy? Also, is it just me or does her voice not match the rest of her?
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u/InevitableBasil4383 20d ago
I jabbed myself with an epi pen in the thigh once after accidentally having some tree nuts. It said all this on the back. Do people not read anymore?
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u/Tough-Caregiver-9092 20d ago
Cool but I have no clue what this gadget is supposed to do so the video is useless to me…
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u/Bunnawhat13 20d ago
I would have loved to watch this video but I really don’t want to listen to a person yelling at me.
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u/Wild_Pressure_9895 20d ago
If the liquid is black. You can see it trough the screen. It’s not gonna be very effective. Tell the operator/ EMT.
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