The available public training and protocol documents do not clearly define a skill labeled exactly “R.25 – Anaphylaxis and Epinephrine Administration,” and none specify a recent formal change that “added” a new form of epinephrine to a skill with that precise code.

What is known about epinephrine forms

Most current anaphylaxis training materials for EMTs, schools, and community responders emphasize:

  • Intramuscular epinephrine via auto‑injector (for example: EpiPen, generic epinephrine auto‑injectors), typically 0.3 mg for adults and 0.15 mg for smaller children.
  • Some programs or advanced skills sheets additionally include draw‑up epinephrine (1 mg/mL, historically called 1:1000) for IM injection using a syringe, generally as a more advanced or specific protocol skill.

Because your question refers to a very specific internal skill code (“R.25”), it is likely part of a particular agency’s or course provider’s curriculum (for example, a state EMS office, a school‑nursing severe allergic reaction program, or a private training organization), and those internal updates are not published in general public references.

Most likely interpretation

In many programs, when an anaphylaxis/epinephrine skill is revised, the update usually involves one of the following:

  • Explicitly adding epinephrine auto‑injector administration as a distinct, tested skill for lay or basic‑provider students.
  • Or adding/expanding manual (draw‑up) epinephrine IM injection for providers allowed to administer epinephrine using a vial or ampule and syringe.

Without that organization’s specific update memo or skill sheet, it is not possible to say with certainty which of these forms was “added” to the skill labeled R.25.

How to get the exact answer

To avoid guessing and to stay clinically accurate, the safest way to confirm the precise form that was added to “R.25 – Anaphylaxis and Epinephrine Administration” is to:

  1. Check your own course’s or agency’s most recent skills breakdown or handbook (look for a revision note or version date near “R.25”).
  2. Ask your instructor, training officer, or medical director to show you the current R.25 skill sheet; they should have the official wording listing the epinephrine form(s) allowed.
  3. If this is tied to a state or provincial EMS standard, search or request the latest skills document from that regulator’s education or protocol section, as they usually post updated skill lists by code.

Because the underlying clinical priority is time‑critical treatment of anaphylaxis, training materials nearly always emphasize rapid IM epinephrine, usually by auto‑injector, with manual IM epinephrine reserved for those authorized and trained in that specific skill.