Date Published

June 4, 2015

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: With regards to Moderate to Severe medical directive. The directives states one dose of EPI only. Does this include if the patient has given themselves their own EPI injector before our arrival? Or does it mean only our ability to give only one dose?


 Great question!  The preamble to your Medical Directives on page 11 states that: the number of recommended medication doses [specified by the Medical Directive] may be administered regardless of any previous self-administration by a patient.

In other words, when you make patient contact, if the patient meets the indications and conditions specified by the Medical Directive, then that patient qualifies for the intervention or medication specified by that Medical Directive.

In the case of anaphylaxis for instance, it could be that the patients self-administered dose was not administered correctly, the medication had expired, or was completely ineffective leaving the patient unwell and thus still meeting the criteria for the Medical Directive.



Epinephrine (Epi)

Additional Resources

No additional resources are available for this SWORBHP Tip.