Pediatric Residents' Knowledge and Proficiency of Epinephrine Auto-injector Administration and Handling
Sunday, March 4, 2018
South Hall A2 (Convention Center)
Hanadys Ale, MD, Vivian P. Hernandez-Trujillo, MD FAAAAI
RATIONALE: Patients diagnosed with anaphylaxis are often discharged from the hospital with prescriptions for epinephrine autoinjectors (EAI). The purpose of this study was to evaluate the baseline knowledge of pediatric residents regarding proper handling and administration of EAI, and to assess their knowledge after providing them with a formal one-on-one training.

METHODS: Thirty pediatric residents were randomly selected to demonstrate how they would educate patients with anaphylaxis (and their parents) on the proper use of the EAI device. Each resident was evaluated using a checklist. Three weeks after the initial encounter, the same residents were re-evaluated using the same checklist.

RESULTS: Of the residents, 46% had a passing score at baseline and 100% passed right after they received training. From the subgroup of residents (30%) who had previously rotated through Allergy and Immunology (A/I), 90% passed the preliminary quiz. During the demonstration 3 weeks after the initial training, 76% of all participating residents had a satisfactory score. From the subgroup that had prior A/I rotation, 100% passed the quiz.

CONCLUSIONS: Our study demonstrates that formal training on proper administration and handling of EAI led to improved proficiency among a cohort of pediatric residents, which persisted after several weeks. An important factor for residents was a rotation in A/I. Since education among providers and patients is needed, we believe efforts to improve the correct use of EAI among providers responsible for training, is an essential component in ensuring that patients and families receive the most accurate guidance on how to use this life saving device.