EMT-B personnel may administer epinephrine using which devices?

• A. Pre-filled device only
• B. 0.3 mL dose-limiting syringe only
• C. Either a pre-filled device or a 0.3 mL dose-limiting syringe
• D. Neither device is permitted

Answer: (C)

Epinephrine delivery in EMT-B practice can be done with two safe, effective tools: a ready-to-use pre-filled auto-injector and a syringe that is limited to a 0.3 mL dose. The auto-injector provides a quick, simple administration with a fixed dose, which is especially helpful in a high-stress allergic reaction. The 0.3 mL dose-limiting syringe offers precise control over the amount given when a manual syringe is appropriate or when an auto-injector isn’t available. Both methods are accepted under typical EMT-B protocols, so either device may be used. The idea is to have a reliable means to deliver the life-saving drug promptly and safely, not to be restricted to one delivery method.