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We are going to now have a quick look at the three most common used auto-injectors for anaphylaxis. Remember, anaphylaxis is an allergic reaction. There is an awful lot of people in this country today that have an allergic reaction to a protein, most commonly things like peanuts but can be just about anything, but they will carry with them or should be carrying with them normally an auto-injector. So the first one we have got is the Jext. It is in its carrying case to keep it safe. The case opens, the Jext is removed, there is an instruction leaflet with it, and there is an arming cap on the end. The arming cap, once in place, keeps it safe. Once it is removed, the Jext is live and active. So, we will put that back on there to keep it safe. The needle will come out of the front end, penetrate through the skin, and when you press and push on to the surface of the skin, it will inject the adrenaline into the patient.

You push on the skin and count to 10, and then you rub the muscle to dissipate the actual adrenaline into the muscle itself. The Jext. Next, we will look at the EpiPen. The EpiPen has exactly the same drug, goes into exactly the same place on the patient, the outer aspect of the right thigh into a muscle at 90 degrees because it is going IM, intramuscular. Again, it is in a carry case, to keep it safe. We open up the case, remove the pen. Again, it is got an arming cap on it, so we pull the arming cap off, it is now live and ready to fire. We will put the arming cap back on for safety. The orange end goes on the surface of the skin to the patient, but this one, instead of putting onto the surface and pushing, we actually swing into the muscle and then count to three. After three, we remove and the cover will cover the needle to keep the needle safe. We then dispose of it safely in a sharps box. It's one use only.

So finally, we will look at the Emerade. The Emerade, again, comes in a carry case. You open the lid and the Emerade comes out. Again, there are instruction leaflets with it. On this particular Emerades, you don't take the cap off. Once you take the cap off, the needle end and infection risk is there, so we do not take the arming cap off until such time as we are actually gonna use it on a real-life patient. With this one, we put it onto the surface of the skin, again, outer aspect of the right thigh, we push, we count to five and then we rub the muscle to rub the adrenaline into the muscle so it absorbs into the body quickly. Again, one use only. The sharp needle is covered by the little neck. Actually, when you take the cap off that you can see. But as I said, we don't take the cap off till we are ready to use it because then we have got to throw it away, it has been contaminated.