Important PAK News: Epinephrine Administration & EMS

Dear PAK Members,

At the most recent North Carolina Allergy, Asthma and Immunology Society Meeting data was presented from researchers at Wake Forest University regarding epinephrine administration to pediatric patients by EMS (first responders) who met the definition of anaphylaxis. The data was for the entire state of North Carolina gathered between 2010 and 2013. There were 504 total patients, 471 who met the criteria for anaphylaxis. Alarmingly, only 157 of these pediatric patients (33%) received epinephrine prior to transport to the Emergency Department. It appeared that age < 7 y.o. was associated with NOT receiving epinephrine despite meeting criteria for anaphylaxis.

They do not have any data yet on adverse outcomes. I am working with them to obtain specific data from Mecklenburg, Iredell, Lancaster, York, Union, and Gaston counties.

Please rest assured that we have begun attempts to provide education on appropriate anaphylaxis management to EMS workers in our surrounding counties. We will continue and strengthen this effort! Please contact me at if you would like to assist with this effort or have any EMS stories to relay that would help with our effort!


Jennifer Caicedo, MD

American Academy of Pediatrics North Carolina Medical Home Chapter Champion of Asthma, Allergy, and Anaphylaxis

Vice President, North Carolina Allergy, Asthma and Immunology Society