My 4-year old granddaugher has CAH and her solu-Cortef goes wherever she goes. When she was about 15 months old she was involved in an automobile accident and a shot was administered as a precautionary measure. Luckily she was not injured. It is true that most EMS personnel will not give the injection without first being told to do so by a doctor. Luckily, I am a member of the emergency squad that responded to my granddaughter's accident, so quite a few of the members are familiar with her condition. My best friend, who is an Advanced Life Support Technician, responded to the scene and gave Kayleigh the shot. But you need to be pepared to do the injection yourself. You never know when an emergency will arise!