The Skeptics' Guide to EM

MAY 21, 2017

Do heroin overdose patients require observation after receiving naloxone? Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. Do heroin overdose patients require observation after receiving naloxone? Clinical Toxicology 2017.

Naloxone 130

Naloxone Overdose First Responder Emergency Department 130

REBEL EM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). mg SL BID 1 tablet 4 Buprenorphine 3 mg–naloxone 0.75

Naloxone 98

Naloxone ED Overdose Emergency Department 98

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. The addition of naloxone to the tablets may also provide a confounder in terms of the analgesia provided.

Emergency Department 52

Emergency Department Naloxone ALS OR 52

EMDocs

JUNE 27, 2024

mg q20-30 min per dose) PRN naloxone in case of respiratory depression Some patients have SCD crises pain plan for reference Antimicrobials 11 Ceftriaxone + azithromycin if penicillin allergy for both children and adults. 2015 May;169(4):492-505. Epub 2015 Mar 30. C or 100.4 mg/kg, max 0.4 Br J Haematol. PMID: 25824256.

E-9-1-1 75

E-9-1-1 ICU ACS EMS 75

ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Psychosis is now being witnessed with naloxone reversal in some cases, and the impact of these novel contaminants on withdrawal syndromes and wounds remain unknown. J Addict Med.

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

Don't Forget the Bubbles

JULY 5, 2023

Naloxone (opioid antidote) should be available in ED in case of severe respiratory depression. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. Anemia ; 2015.DOI:10.1155/2015/791498. DOI:10.1155/2015/791498. A newer therapy option is ketamine.

E-9-1-1 126

E-9-1-1 ACS OR ICU 126