ACEP Now

OCTOBER 15, 2023

After enrollment, patients were randomized either to a modified-release oxycodone-naloxone combination opiate, starting with an initial dose containing 5 mg of oxycodone, or placebo. The addition of naloxone to the tablets may also provide a confounder in terms of the analgesia provided. Last updated November 10, 2021.

Emergency Department 52

Emergency Department Naloxone ALS OR 52

Dr. Smith's ECG Blog

MAY 5, 2023

Krantz et al authored a State-of-the-Art Review on Cardiovascular Complications of Opioid Use ( JACC 77(2):205-223, 2021 ) — in which mechanisms from Opioid Overdose that detail arrhythmia production ( up to cardiac arrest ) are elucidated — thereby providing an explanation for the unusual arrhythmias in today's case.

E-9-1-1 52

E-9-1-1 NARCAN Naloxone Overdose 52

ALiEM

OCTOBER 30, 2024

Alternatively, one can cut the 2 mg Suboxone (buprenorphine + naloxone combination) strips into 4 pieces after waiting for a longer washout period (72-96 hours of abstinence from non-medical opioids) before starting the induction. 2021 Aug 1;94:103086. Or one can start methadone induction. I am happy to help how I can.

E-9-1-1 161

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

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. 2021 Sep;194(5):899-907. Epub 2021 Jul 15. C or 100.4 mg/kg, max 0.4 Br J Haematol.

E-9-1-1 96

E-9-1-1 ICU ACS EMS 96

EMDocs

JANUARY 22, 2025

In the field, he was given 4 mg intranasal (IN) naloxone and rescue breaths via bag valve mask. He is administered 2mg intravenous (IV) naloxone and shortly after develops precipitated withdrawal with altered mental status, diaphoresis, vomiting, and diarrhea. When should a naloxone infusion be considered?

Naloxone 94

Naloxone E-9-1-1 Overdose NARCAN 94

ALiEM

JANUARY 6, 2025

A 32 year-old male with PMH significant for opioid use disorder, a prior admission in 2021 for left-sided empyema s/p thoracotomy and decortication, gas bacteremia, and tricuspid endocarditis presented for a left leg wound. Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? BMP : Na 126; K+ 5.9;

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

Peter Canning

MARCH 12, 2025

from our rolling 12-month high of November 2021), according to just released data from the CDC which reflects their data through the end of October 2024. Keep getting the naloxone out there. Fatal Overdoses continue to show a decline both nationally (27.5% from the June 2023 rolling 12-month high) and here in Connecticut (32.7%

Overdose 59

Overdose Naloxone OR 59

Peter Canning

JANUARY 15, 2025

from our November 2021 high, a level equivalent to July 2019. There was a great article in the CT Insider this morning about efforts in New Britain and Hartford Connecticut to connect with overdose patients and distribute naloxone throughout their communities. Ten minutes after I gave naloxone, the patient was up and talking to us.

Naloxone 52

Naloxone Overdose NARCAN OR 52

Peter Canning

FEBRUARY 13, 2025

ACMT & AACT Joint Position Statement on Nalmefene Should Not Replace Naloxone as the Primary Opioid Antidote at This Time. Fact: Newer synthetic fentanyls do not require more doses of naloxone than traditional to reverse an overdose. Naloxone Dosing After Opioid Overdose in the Era of Illicitly Manufactured Fentanyl.

Naloxone 64

Naloxone Overdose Emergency Medical Services EMS 64

Peter Canning

NOVEMBER 13, 2024

The CDC also reports overdose deaths in Connecticut are down 24.14% from the state rolling 12-month high of 1,566 set in November of 2021 to the new June 2024 low of 1,188. Harm reduction workers in Hartford Connecticut, making Naloxone kits. We will win this war.

Overdose 59

Overdose Naloxone 59

Peter Canning

MARCH 2, 2025

In 2022, according to the CDC database , it was detected in only six of 29 reporting states accounting for just 7 deaths, down from 277 deaths in 13 of 32 reporting states in 2021. Deaths in Connecticut and nationwide continue to decline despite this rise in carfentanil. Graph from CDC.

Overdose 59

Overdose Naloxone OR 59

Peter Canning

DECEMBER 6, 2024

There has been much speculation and the answer probably doesnt lie with one factor but with many, including increased availability of naloxone, the efforts of harm reduction workers, the end of the COVID isolation, the trend away from injecting to snorting or smoking, a less toxic drug supply, and expanded treatment.

Overdose 52

Overdose Naloxone Emergency Department OR 52

AAEM RSA

APRIL 18, 2021

Sobrio, MD Originally published: Common Sense March/April 2021 Flashback to 2019. Practices were being implemented to help prevent reckless opioid prescribing and increase availability of naloxone which, to an extent, were working. Availability of lifesaving naloxone is at an all-time high. Image credit: Pexels Author: Shane A.

Overdose 52

Overdose Naloxone OR 52

Core EM

JANUARY 16, 2025

Pressing on it with your blade has been shown to be associated with better views (Driver 2021). Figure 21: Showing how pressure on the hyoepiglottic ligament gives a good view (cadaver views adapted from Driver 2021) You may or may not have a view at this point. naloxone), the person is likely to get intubated. Seemingly it did.

EMS 130

EMS E-9-1-1 ALS OR 130