“…With the onset of anaphylaxis an immediate intramuscular (im) adrenaline injection is the first-line of treatment and can be lifesaving and it has been noted that there are no absolute contraindications to the prescription and utilization of self-injectable adrenaline (Song, Worm, & Lieberman, 2014 Adherence by chronic patients to medical regimens is recognized to be dismally low (Sabaté, 2003). With anaphylaxis in particular, it has been noted that many patients who have been prescribed epinephrine auto-injectors, because of a previous anaphylactic attack, do not carry them with studies showing that <30% of these patients carried it at all times (Johnson & Parker, 2006;Kastner, Harada, & Waserman, 2010;Song et al, 2014). There are few studies on anaphylaxis management in pre hospital settings.…”