Practising self-injection
It is unclear whether practising injecting adrenaline using an empty
syringe at clinic appointments has any effect on outcomes for people at
risk of anaphylaxis because the certainty of evidence is very low. One
trial found that adolescents who practised felt more comfortable
self-injecting than those who did not practise (very low certainty,
supplement S6b).11Shemesh E, D’Urso C, Knight C, Rubes M,
Picerno KM, Posillico AM, Atal Z, Annunziato RA, Sicherer SH.
Food-Allergic Adolescents at Risk for Anaphylaxis: A Randomized
Controlled Study of Supervised Injection to Improve Comfort with
Epinephrine Self-Injection. J Allergy Clin Immunol Pract
2017;5(2):391-397.e4.