ACEP Now

JULY 7, 2023

While naloxone can treat fentanyl overdose, overdose symptoms may persist when xylazine is involved. Published online October, 2022. Currently, there is no FDA-approved pharmacotherapy for either the reversal of xylazine in humans or the management of withdrawal. Typically, xylazine is mixed with fentanyl. Available here.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

ACEP Now

DECEMBER 10, 2023

Though paramedics administered naloxone, he remained somnolent. You ultimately begin a slow naloxone infusion and admit him to the medical ICU. You question yourself for ordering IV potassium and starting a naloxone infusion, knowing you are causing discomfort for the patient who has known significant cancer-related pain.

Naloxone 52

Naloxone Life Support Paramedic ALS 52

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

He awoke with naloxone. It is relieved with rest." == MY Comment, by K EN G RAUER, MD ( 11/1 /2022 ): == Like Dr. Smith — I interpreted the initial ECG in today’s case without the benefit of any history. Precordial Swirl in ECG #1: As discussed in the October 15, 2022 post in Dr. Smith's ECG Blog — Drs. He denied any CP or SOB.

Overdose 52

Overdose OR Coronary ACS 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. 2022 Jul 5;328(1):57-68. 2022 Aug;58:235244. Epub 2022 Jun 11. 2022 Aug;58:235-244.

E-9-1-1 97

E-9-1-1 ICU ACS EMS 97

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 96

Naloxone E-9-1-1 Overdose NARCAN 96

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

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. In 2022, the National Poison Data system reported 1,278 cases involving kratom; about 45 percent of those cases required health care facility management.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

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. It is purportedly 100 times stronger than fentanyl. Deaths in Connecticut and nationwide continue to decline despite this rise in carfentanil. Graph from CDC.

Overdose 59

Overdose Naloxone OR 59

Core EM

JANUARY 16, 2025

naloxone), the person is likely to get intubated. Section 12: Appendices, Algorithms, and Trivia 1) ASA Difficult Airway Algorithm (For OR patients): Figure 62: The difficult airway algorithm from the American Society of Anesthesiologists (Apfelbaum 2022) for use in the OR. et al (2022). 2022): 344-347. Apfelbaum, J.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130