|EMT-Intermediates and Paramedics:
Some local pharmacies have started to substitute the 1:10,000 epinephrine prefilled syringes with a kit containing:
· a 30 mL vial (1mg/mL) of epinephrine
· eight 10mL syringes
· 10 mL vials of NS
· a warning sticker
· an instruction sticker advising you to dilute 1mL of epinephrine with 9mL of NS for administration
Early in 2017 it was noted that there was a national shortage of Epi 1:10000 prefilled syringe (0.1 mg / mL or 1 mg / 10 mL) and because of this shortage the pharmacies would substitute those items with a “kit” as described above.
As of today, a few pharmacies have reported they have reached critical inventory levels and have started to re-stock these kits in the regional red boxes. Once inventory is back to normal, these kits will be replaced with the prefilled syringes.
Please feel free to contact me directly if you have any questions.
— Division Chief Kevin Lipscomb, NRP
— Regulation & Support Services