Am I correct that in the case of a degranulation that epi should be given by EMTs, even if the person doesn't have breathing difficulty, but does have high blood pressure and a rapid heart rate?  For example, if the blood pressure is 170/100 and the pulse is 160, will epinephrine bring those back down to normal?  Is it definitely important to give the patient epi because high bp and pulse can precede a disastrous drop in both?

Just checking my facts to make sure I don't tell the docs anything incorrect.

I am that person who shocks with "Hypertensive Variant". My BP will spike VERY high, then drop to zero within 2 minutes. I would guess that giving the epi  would depend on the EMTs understanding of how severe the reaction is at the time...

I dont always use my epi when I shock.. I DO use it when I think the shock is a severe one and Im feeling as if I will lose conciouness. Thats the difference for me.
Hugs,
Ramona