Salisbury D, Ramsay M and Noakes K (eds) (2012) Immunisation against infectious disease, London: Department of Health and Public Health England.
Originally published by The Stationery Office under licence from Department of Health 2006.
All patients with clinical signs of shock, airway swelling or definite breathing difficulties should be given adrenaline (epinephrine) 1:1000 administered by intramuscular (IM) injection (never subcutaneously). For information on dosage to be given see below. The preferred site is the mid-point of the anterolateral aspect of the thigh (Simons et al., 1998). If there is no clinical improvement, the dose may be repeated after five minutes. Further doses of adrenaline can be given if needed.
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