Published
[video=youtube_share;OBRNyNSg2GY]https://youtu.be/OBRNyNSg2GY So I've never posted a video here so forgive me if I'm doing it the wrong way. I made a YouTube video about an alternative therapy to the EpiPen given its recent popularity in the news lately.
As required by AN, there is a link to all nurses in the description and the video itself :)
I'd appreciate any feedback you might have. I know some of you will have some constructive criticism, but please keep it friendly.
I made this video very fast because it's a hot topic right now and I didn't want to miss out. A video will usually take me 2 weeks to edit, gather material, voice over and other stuff. I made this whole video in 5 hours, so I apologize for any mistakes you might find :)
Enjoy the video.
Mylan has agreed to waive the copay for nearly everyone for whom EpiPen is prescribed. This looks like it could be a recipe for disaster if a mistake is made, and a legal liability to you for suggesting it can replace an EpiPen.
Copay requires insurance. Adrenalin is FDA approved for anaphylaxis, so there is no liability on my end for bringing attention to those unaware of another option. Granted this method requires some skill should the subject draw the medication themselves. It's not an alternative for everyone but it is an alternative for some.
Yes, I am impressed by the quality !I had thought about making small clips with instructions for patients/families to address most common questions they ask. But before I even got started on that I took a different position.
Do you use a professional camera?
just my iPhone!! It records in HD, so I never really considered a regular camera. All my videos on YouTube are recorded on a smart phone. I use iMovie to edit along with 6 other apps on my phone to do certain edits that I can't do on iMovie. I'd be happy to help you make a video if you're still interested.
Suggest you show the video to your malpractice insurance provider to see if they have any concerns regarding liability. I missed some of the instructions because the audio was difficult to hear during the demo.
Safety concerns that I had with the video are; storing a pre-loaded syringe in a toothbrush holder is a safety hazard if a young child gets their hands on it. There was no discussion about chemical stability and deterioration with exposure to air or light or what it looks like if it has deteriorated or expired and should not be used.
just my iPhone!! It records in HD, so I never really considered a regular camera. All my videos on YouTube are recorded on a smart phone. I use iMovie to edit along with 6 other apps on my phone to do certain edits that I can't do on iMovie. I'd be happy to help you make a video if you're still interested.
Wow - that is so cool! I had considered a phone but was not sure how that would work best - do you use a holding thingy or is somebody holding the phone for you? I do have iMovie I think - that you for your offer! I will try to make a short clip and see how it turns out, if there is a problem perhaps I can pm you?
Safety concerns that I had with the video are; storing a pre-loaded syringe in a toothbrush holder is a safety hazard if a young child gets their hands on it. There was no discussion about chemical stability and deterioration with exposure to air or light or what it looks like if it has deteriorated or expired and should not be used.
While I agree I could have added a few more things. I like the idea about the deterioration and such. Great part of making videos on YouTube is that I can always upload another one. I also have stats and analytics I need to follow else I lose the attention of my audience. For example the average watch time of the Epi video is 2:10 seconds, which is around half. The longer the videos the less people actually watch them.
If I were you I would pull the video until my malpractice insurer had assessed the video for liability concerns and my lawyer had assessed if the image of Epipen on the video is copyright infringement.
its not infringement. The same way news agencies around the US can put it on the news, I can put it in my video. It falls under the fair use act. (Not sure if they have that in Canada, where you're from). Google/Youtube has a huge policy about it and what you need to do in order to follow it.
Pre filled syringes are ok provided you follow certain precautions
http://www.wildmedcenter.com/uploads/5/9/8/2/5982510/epinephrine.pdf
The stability and sterility of epinephrine prefilled syringe. - PubMed - NCBI
Hope these articles help to clarify this issue
As I said, our EMT basics now draw up and administer epi 1:1000 as a matter of course. Having pre filled syringes in the household requires care just as being and insulin dependent diabetic requires caution around children.
The only comment I would add would be to include the date of filling of the syringe so that it doesn't lay around too long prior to use
Many if my pts have their families pre fill their insulin because they can't see the syringe and the click pens are too expensive. While not in use in the heartcare setting, home use is another venue.
Pre filled syringes are ok provided you follow certain precautionshttp://www.wildmedcenter.com/uploads/5/9/8/2/5982510/epinephrine.pdf
The stability and sterility of epinephrine prefilled syringe. - PubMed - NCBI
Hope these articles help to clarify this issue
As I said, our EMT basics now draw up and administer epi 1:1000 as a matter of course. Having pre filled syringes in the household requires care just as being and insulin dependent diabetic requires caution around children.
The only comment I would add would be to include the date of filling of the syringe so that it doesn't lay around too long prior to use
Many if my pts have their families pre fill their insulin because they can't see the syringe and the click pens are too expensive. While not in use in the heartcare setting, home use is another venue.
Studies from Thailand won't be helpful in the event of a liability case, it is more likely guidelines from American experts such as the National institute of Allergy and Infectious Disease NIH Gov would be used and their guidelines advise using an auto-injector for management of out of hospital anaphylaxis.
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good question. The epi in vials can sit at room temp with no issues. They normally sit in crash carts all the time.
There was a question on YouTube someone asked me about the expiration date of the epi after the syringe is drawn up. The answer to that is I don't know. I'd have to look to see if any studies are available that provide information such as that.