A Review of Auto-Injector Pen Safety and Preventative Strategies

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Eduardo Adrian Rodriguez
Morgan Leigh Arnold
Michael G Wilkerson


auto-injector, general dermatology, safety, epinephrine, accidental self-injection


Reports of auto-injector pen injuries have increased over the past decade. However, the true incidence of these injuries is unknown. We present the case of an accidental digital self-injection by a dermatologist whilst he was trying to administer the medication to a patient presenting with anaphylaxis as an example of a typical auto-injector injury. Additionally, we discuss safety issues, commonly reported injuries of accidental self-injection, and review the safety guidelines for use of a common auto-injector pen. Finally, we explore common barriers to proper auto-injector handling and suggested preventative strategies in order to decrease injuries caused by auto-injectors.


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