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Retrieval of Additional Epinephrine from Adrenaclick-Style Epinephrine Autoinjectors
Wilderness & Environmental MedicineVol. 32Issue 1p55–58Published online: January 27, 2021- Arun Ganti
- Rebecca Pilkerton
- Erika Falsgraf
- Elizabeth Vanwert
- Nathan Brouwer
- Alexander Beyer
- and others
Cited in Scopus: 2Anaphylaxis is a life-threatening allergic reaction involving multiple organ systems that can result in significant morbidity and mortality if left untreated. Epinephrine is the mainstay of treatment. Most episodes of anaphylaxis resolve after a single dose of epinephrine, but biphasic and protracted courses of anaphylaxis are well described. The need for additional doses of epinephrine poses a significant challenge in the wilderness setting, because patients and providers may only carry a single autoinjector. - Concepts
The Global Snakebite Crisis—A Public Health Issue Misunderstood, Not Neglected
Wilderness & Environmental MedicineVol. 20Issue 1p43–56Published in issue: March, 2009- Ian D. Simpson
- Robert L. Norris
Cited in Scopus: 25The global problem of venomous snakebite continues to attract attention despite it being described as a “neglected” issue. The current focus of the World Health Organization (WHO) remains anti– snake venom quality, although “availability and sustainability” of supply are consistently described as the key issues. Sustainability of antivenom supply has been elusive, with cost and pricing in developing countries being cited as the major reasons. The current WHO approach fails to explore the cost issue, but rather focuses on quality improvements, which may well adversely affect the costs of a product already perceived to be ‘unaffordable.’ The reference to cost and price indicates a marketing-based perspective may well give more relevant solutions to the snakebite crisis.