Prehospital epinephrine overdose in a child resulting in ventricular dysrhythmias and myocardial ischemia

Introduction: Epinephrine overdoses in children have been associated with s upraventricular tachycardia, Myocardial ischemia subsequent to epinephrine overdose has not been reported in pediatric patients, Case report: We report a case of ventricular dysrhythmias and myocardial is chemia in a 5-year-old boy who received 10 times the recommended dose of su bcutaneous epinephrine. Prehospital providers administered the epinephrine, believing it was part of a "high-dose" epinephrine protocol, Discussion: There is no role for high-dose epinephrine in the treatment of allergic reactions or asthma. careful epinephrine dosing, using mg/kg and v erifying the volume, dilution, anal route of administration is essential to prevent epinephrine toxicity.