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Images in paediatrics
A complication of adrenaline autoinjectors
  1. David Tuthill1,
  2. Narayana Reddy Vayyeti1,
  3. Elizabeth Spear2,
  4. Rebecca Clargo3
  1. 1Department of Paediatrics, University Hospital of Wales, Heath Park, Cardiff, UK
  2. 2Allergy Specialist Nurse, University Hospital of Wales, Cardiff, UK
  3. 3Anaphylaxis Support Group, Cardiff, UK
  1. Correspondence to Dr David Tuthill, Department of Paediatrics, University Hospital of Wales, Heath Park, Cardiff CF14 5AR, UK; david.tuthill{at}

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A 3-year-old boy with nut allergy received an EpiPen dose by the recommended ‘Swing and Jab’ technique for anaphylaxis. This resulted in a severe laceration (figure 1) and subsequent 9 cm scar (figure 2).

Figure 1

Image showing laceration to thigh from EpiPen use by ‘Swing and Jab’ method.

Figure 2

Scar following laceration, 3 years later.

The currently advised ‘Swing and Jab’ …

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  • Contributors DT had the initial idea. NRV prepared the manuscript, which was reviewed and modified by ES and RC.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.