Editor,—We read with interest the paper by Unsworth1 regarding the over prescribing of adrenaline syringes. We are sure we are not the only community paediatric team who have similar concerns, although perhaps from a different perspective. Dr Unsworth writes of the safety issues. We have more experience of the practical problems.

Thanks to the availability of prompt training for school staff by community personnel, it is now rare for a child to actually be excluded from school because they have an adrenaline injection device. However, they may very …