Anaphylaxis in Quebec: Use the Auto-Injector and Call 911
Recognize a severe allergic reaction, give epinephrine promptly as directed and prepare for emergency responders.
Give epinephrine without delay
Follow the person's emergency plan and the directions printed on the auto-injector. Inject into the outer thigh, through clothing if the device permits. Record the time. An antihistamine does not replace epinephrine and must not delay emergency care.
Position and monitor
Keep the person lying down when tolerated; adapt the position for breathing difficulty, vomiting or pregnancy under dispatcher guidance. Do not let the person stand or walk. If they become unresponsive and are not breathing normally, begin CPR and use an available AED.
Second dose and transfer
If symptoms persist or return and a second auto-injector is available, follow the person's plan, device instructions and 911 guidance. Temporary improvement does not replace medical assessment because symptoms can recur.
Prepare for the future
Afterward, replace every used device, check expiry dates, review the plan with a clinician and ensure the right people know where the auto-injector is kept. Do not store epinephrine somewhere inaccessible or exposed to extreme temperatures.
Quebec anaphylaxis response protocol — MSSS (French)