The World’s Fastest EpiPen® Training

Adult and child EpiPens

This is an EpiPen®.

The Yellow is for adults (66 lbs and over).  The Green is for children (33 – 66 lbs.)

EpiPens halfway out of carrying case

EpiPens come in a carrying case, to protect you from accidentally activating the injector.

EpiPens outside of carrying case

EpiPens are used to treat Anaphylactic Shock associated with Severe Allergic Reactions.   Here are common symptoms of someone having an allergic reaction:

Heart: weak rapid pulse, low blood pressure, heart palpitations; Brain: headache, anxiety, confusion, slurred speech; Lungs: wheezing, chest pain, difficulty breathing, trouble swallowing; Skin: itching, redness, swelling of face eyes lips tongue throat, hives or rash; Stomach: nausea, vomiting, diarrhea, abdominal pain

A person having a severe allergic reaction can potentially go into cardiac arrest in 15 minutes and potentially die if they do not get an injection of Epinephrine.  Epinephrine is man-made “adrenaline.”

Common allergens: Milk, eggs, fish, shellfish, bees, tree nuts, peanuts, wheat, soya (soy beans), fire ants

Here are some very common allergens that cause people to have anaphylactic reactions.

EpiPens inside self-carry cases and lunch bag

People with known allergies often carry an EpiPen® with them. 

Allergy Emergency Kit hallway cabinets
Mylan EpiLocker cabinet

School nurses usually have EpiPens.  Some schools even have EpiPens available for emergency use stored in cabinets like this in the hallway.

If you see someone having what you think is a severe or worsening allergic reaction, find an EpiPen® as fast as you can.  If in the first minute you cannot figure out where you would find an EpiPen®, call 911 as your first step.  While you’re waiting for the ambulance, you can still administer an EpiPen® if you locate one.  If there is Benadryl on hand and the victim can still swallow on their own, give them a full dose of Benadryl.  You can do both.

EpiPens outside of carrying case

If you do locate an EpiPen®, remove it from its carrying case.

The orange end is the needle end, so be careful!  Stay calm, this is a quick process.

Close-up of needle end

On the opposite end there is a blue “safety” tab that you must pull out for the needle to inject.

Close-up of safety tab

Pull the blue safety tab out.  Your EpiPen® is now ready to inject.

EpiPen with safety tab removed

Grip the EpiPen® in your hand so the orange needle end is facing the ground and you can “stab” it downward.

Hand making a fist around EpiPen with needle facing downward

With the victim seated or lying down, note their outer thigh – it is not necessary for skin to be bared.  The objective is to push the EpiPen® into the outer thigh muscle so the orange end disappears into the EpiPen®, allowing the needle to poke through the pants/tights of the person.  HOLD the injector firmly against the victim’s leg to allow the medicine to administer fully.

EpiPen pressed into victim's thigh through clothing

Wait 10 seconds for the injection to be complete.

Hand massaging injection site

After the injection, massage the thigh and make sure someone has called 911.

You may notice the person quickly having some relief from their symptoms.  But please, they still need to be taken to a hospital or urgent care facility.  If you have called an ambulance, let them ride there in the ambulance in case they have a secondary reaction.  If you have more than one EpiPen® on hand, keep additional EpiPens with you as you transport the person to the hospital.

Extended cover over needle

A used EpiPen® will have an extended orange cover over the needle.

EpiPen® is a registered trademark of Mylan Inc.  Mylan Inc.does not sponsor or endorse this e-mail or web page.  For official EpiPen instructions visit:

This e-mail is one of 1,000,000 sent to educators across the United States in the summer of 2016.  Feel free to forward to anyone who you think can benefit from this training, including other teachers, parents and grandparents of allergic children.

©2016 Brandon J. Wilson, Mokena, Illinois.