Safe Epi Use in Infants and Toddlers with Dr. Michael Pistiner

Nov 25, 2025
23 mins

Episode Description

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In Part 2 of my conversation with Dr. Michael Pistiner, pediatric allergist at Mass General for Children, we focus on anaphylaxis management in young children and epinephrine use.

Dr. Pistiner walks us through which epinephrine devices are appropriate for infants and toddlers, and demonstrates the best techniques for administering them safely. He shares practical guidance for holding a squirming baby, minimizing fear, and building confidence in epinephrine.

-->We encourage you to watch what this looks like in action. You can find the video demonstration on my Instagram and Facebook pages @thefoodallergypsychologist or here:
*Infant epi administration: https://drive.google.com/file/d/1BrzXaONN9yQy6KgMAn4LXNSh8jJ8rpS7/view?usp=sharing
*-->Toddler epi administration: 
https://drive.google.com/file/d/1J0EIzwE7zAV3vwzLQQ3EvstBM2SgtEvR/view?usp=sharing

This episode is a must-listen for anyone caring for a child with food allergies, because preparation and confidence can make all the difference in an emergency.

How to Use an Epi Autoinjector:
https://www.healthychildren.org/English/health-issues/injuries-emergencies/Pages/How-to-Use-an-Epinephrine-Auto-Injector.aspx

Parental experience administering epinephrine for systemic reactions during infant and toddler oral food challenges: https://www.jaci-inpractice.org/article/S2213-2198(24)00687-1/fulltext

Joint Task Force Practice Parameters:
https://www.allergyparameters.org/

Food Allergy Management and Prevention
Support Tool for Infants and Toddlers:
https://famp-it.org/

Creating an Allergy and Anaphylaxis Plan:
https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Create-an-Allergy-and-Anaphylaxis-Emergency-Plan.aspx?sfns=mo

AAP Allergy and Anaphylaxis Emergency Plan:
https://publications.aap.org/pediatriccare/resources/17512/AAP-Allergy-and-Anaphylaxis-Emergency-Plan?autologincheck=redirected

Special thanks to Kyle Dine for permission to use his song The Doghouse for the podcast theme!
www.kyledine.com

Find Dr. Whitehouse:
-thefoodallergypsychologist.com
-Instagram: @thefoodallergypsychologist
-Facebook: Dr. Amanda Whitehouse, Food Allergy Anxiety Psychologist
-welcome@dramandawhitehouse.com



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