Epinephrine Use & Legal Issues for Outdoor Programs

Help Build Better Epinephrine Legal Policies

Understanding Epinephrine use in outdoor programs is essential to creating better laws allowing epinephrine to be used as a life-saving treatment in the field. Your answers will help us gather data to support better policies and laws. We'll be publishing the results to help you plan the best Epinephrine strategy for your program. Thanks for helping.

In this survey we use the term 'layperson' to describe people who are not licensed medical professionals permitted to administer a prescription drug. A layperson may still be trained and certified in first aid and emergency care.

The Staff at OutdoorEd.com

The Outdoor Professional's Resource

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* 1. Describe the type of Outdoor Program you represent

Other (please specify)

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* 2. Select the title that best describes your role in your Outdoor Program

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* 3. Does your Program currently carry Epinephrine?

No, we do not carry Program Epinephrine (we may allow participants to carry their own)

Yes, we carry Program Epinephrine

We are considering carrying Program Epinephrine

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* 4. Does your State/Province have any law/regulations that allow laypersons to give Epinephrine?

Yes

Don't Know

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* 5. In the past 10 years, has your Program ever had a medical situation that potentially called for Epinephrine? (whether you carry it or not)

Yes

Possibly, not sure

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* 6. In the past 10 years, has your Program ever administered Epinephrine?

No - our Program doesn't carry Epinephrine

No - our Program carries Epinephrine but has not administered it

Yes - Program Epinephrine was administered

Yes - The patient's own Epinephrine was administered

Yes - Someone else's Epinephrine was administered to the patient

Don't Know

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* 7. In the past 10 years, if your Program has ever administered Epinephrine, what was the medical condition that required Epinephrine?

Anaphylaxis from Food Allergy

Anaphylaxis from Insect Bite

Anaphylaxis from some other source (not food or insect)

Severe Asthma Attack

Other (please specify)

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* 8. If you carry Epinephrine, what type do you carry? (select all that apply)

EpiPen Autoinjector

Auvi-Q Autoinjector

Prefilled Syringe

Ampule or Bottle and Syringe (drawn up on scene)

Other (please specify)

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* 9. What are your biggest concerns about using Epinephrine in your Program? (using it, not just carrying it)

	Not Significant at all	Somewhat Significant	Moderately Significant	Very Significant
Legal Liability if we do administer Epinephrine	Legal Liability if we do administer Epinephrine Not Significant at all	Legal Liability if we do administer Epinephrine Somewhat Significant	Legal Liability if we do administer Epinephrine Moderately Significant	Legal Liability if we do administer Epinephrine Very Significant
Legal Liability if we do NOT administer Epinephrine	Legal Liability if we do NOT administer Epinephrine Not Significant at all	Legal Liability if we do NOT administer Epinephrine Somewhat Significant	Legal Liability if we do NOT administer Epinephrine Moderately Significant	Legal Liability if we do NOT administer Epinephrine Very Significant
Lack of a Law in the State allowing us to administer Epinephrine	Lack of a Law in the State allowing us to administer Epinephrine Not Significant at all	Lack of a Law in the State allowing us to administer Epinephrine Somewhat Significant	Lack of a Law in the State allowing us to administer Epinephrine Moderately Significant	Lack of a Law in the State allowing us to administer Epinephrine Very Significant
Cost of Epinephrine	Cost of Epinephrine Not Significant at all	Cost of Epinephrine Somewhat Significant	Cost of Epinephrine Moderately Significant	Cost of Epinephrine Very Significant
Training Staff to administer Epinephrine	Training Staff to administer Epinephrine Not Significant at all	Training Staff to administer Epinephrine Somewhat Significant	Training Staff to administer Epinephrine Moderately Significant	Training Staff to administer Epinephrine Very Significant
Civil Liability if we do administer Epinephrine	Civil Liability if we do administer Epinephrine Not Significant at all	Civil Liability if we do administer Epinephrine Somewhat Significant	Civil Liability if we do administer Epinephrine Moderately Significant	Civil Liability if we do administer Epinephrine Very Significant
Civil Liability if we do NOT administer Epinephrine	Civil Liability if we do NOT administer Epinephrine Not Significant at all	Civil Liability if we do NOT administer Epinephrine Somewhat Significant	Civil Liability if we do NOT administer Epinephrine Moderately Significant	Civil Liability if we do NOT administer Epinephrine Very Significant

Other (please specify)

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* 10. Do you think that a layperson (with training) should be legally allowed to give Epinephrine in certain life or death situations?

Yes

Why or Why Not?

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* 11. What Country is your Organization based in? (may be different from where you operate)

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* 12. Select the State of Province where your Organization is located? (may be different from where you operate programs)

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* 13. If you'd like to receive an email of the results, enter your email address.

Thanks for answering the survey and helping us gain a better understanding of the use of Epinephrine in outdoor programs.