I live in WV where Mylan CEO Heather Bresch (and her Senator father Joe Manchin are from) and they had on the local news just what you are describing. They said that the local ambulances stopped carrying the EpiPens because they were rarely used and tended to expire more often that they were used. It's a cost/benefit analysis the county did and they quickly came to the same conclusion as you did just now. Lastly, the schools here in WV all have trained nurses on staff that can administer the drug WITHOUT issues. In fact, just like Insulin, students have to surrender their drugs to the nurse upon entry into the school with a doctor's verification of the prescription. So I don't see the problem either with using a syringe.