Underuse of epinephrine for the treatment of anaphylaxis: missed opportunities

Benjamin T Prince, Irene Mikhail, David R Stukus Division of Allergy and Immunology, Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, OH, USA Abstract: Epinephrine is the only effective treatment for anaphylaxis but studies routinely show underutilization. This is especially troubling given the fact that fatal anaphylaxis has been associated with delayed administration of epinephrine. Many potential barriers exist to the proper use of epinephrine during an anaphylactic reaction. This article will explore both patient- and physician-related factors, as well as misconceptions that all contribute to the underuse of epinephrine for the treatment of anaphylaxis. Keywords: anaphylaxis, epinephrine, emergency department, food allergy&nbsp