I think if it were that much of an emergency, it would not matter if they got it in the vein anyway...the quicker they got the cortisol delivered the better actually.  Ambulance persoanl are trained to give shots I would have thought.  If a parent can train to give it, then somoen in their line of work should definately be trained to give one as they would come across the occasion to give it more than a parent of a child with CAH actually.  There are other medical conditions.  As for liability when giving the shot...are they prepared to accept the responsibility of NOT giving the shot is a thought that often runs through my mind given that it is life and death and that the child is more likely to die not getting it than getting it? 

To be honest.  I think it is more the fact that there is a lot of ignorance on their part around CAH and I am quite sure that if it were explained to personel (school staff and ambulance crews) what can happen in such emergencies, then common sense would prevail and they would realise as well as we do as the parents that the shot is definately warranted and worth the risk at the end of the day when you consider the alternative.  They do other far more risky procedures than giving shots I’d imagine half the time when trying to get people out or horific situations and positions in a car crash for example and yet it is technically no diffierent than bringing a child or adult back from the brink of death from an adrenal crisis.  If that is what could occur why treat it any differently?sitation  things