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{
    "pk": 1118,
    "title": "Unintentional Epinephrine Auto-Injector Maxillofacial Injury in a Pediatric Patient",
    "subtitle": null,
    "abstract": "Case Presentation:\n A four-year-old female patient presented to the emergency department with an epinephrine auto-injector that had unintentionally discharged into her mandible. There was difficulty removing the auto-injector at bedside. Images we acquired noted needle curvature not present in an off-the-shelf model. She was sedated, and the auto-injector was removed by retracing the angle of discharge, with care taken not to inject epinephrine into the patient.\nDiscussion:\n Epinephrine auto-injector accidental discharges are an unusual injury pattern, but the incidence of such events is increasing in the United States. The emergency clinician should be cognizant of complicating factors with discharges, such as bent needles. Here we discuss a case of discharge into the maxillofacial region (lower jaw), with approaches to treatment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "epinephrine auto-injector"
        },
        {
            "word": "EpiPen"
        },
        {
            "word": "discharge, maxillofacial"
        },
        {
            "word": "pediatrics"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1fd1p6gw",
    "frozenauthors": [
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "David",
            "name_suffix": "",
            "institution": "Nellis Air Force Base, Mike O’Callaghan Military Medical Center, Department of Emergency Medicine, Las Vegas, Nevada",
            "department": "None"
        },
        {
            "first_name": "Jerad",
            "middle_name": "",
            "last_name": "Eldred",
            "name_suffix": "",
            "institution": "University of Nevada, Las Vegas, University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Raper",
            "name_suffix": "",
            "institution": "Nellis Air Force Base, Mike O’Callaghan Military Medical Center, Department of Emergency Medicine, Las Vegas, Nevada",
            "department": "None"
        }
    ],
    "date_submitted": "2022-01-16T00:05:57Z",
    "date_accepted": "2022-01-16T00:05:57Z",
    "date_published": "2022-01-16T00:06:38Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1118/galley/858/download/"
        }
    ]
}