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Recently, xylazine has gained attention in the media with increasing reports of xylazine-related overdose deaths in patients. When combined with illicit opioids such as heroin and fentanyl, xylazine may increase the risk of fatal overdose given the augmented sedation and respiratory depression effects [2]. Published May 2023.
Date: August 23rd, 2022 Reference: Schoenfeld et al. AEM August 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: August 23rd, 2022 Reference: Schoenfeld et al. He is successfully resuscitated using naloxone and is stable after an observation period.
Drug overdose deaths are down 3.1% 107,543 people died of drug overdoses in 2023 down from 111,029 in 2022. Here in Connecticut, drug overdose deaths have been decreasing for the last two years (down 14% in 2023 from the 2021 high). Harm reduction and the availability of naloxone. Why are deaths dropping?
mg of Naloxone X 2, and now the ETCO2 drops to 45, the SAT soon comes up to 99 and the patient opens her eyes and lifts her head, surprised to find herself surrounded by EMS and Fire. I have called the time on a number of her neighbors in this building, some of them victims of overdose. of all overdoses to 11.1%. per 100,000.
Is the decline in drug overdose deaths more related to the increased availability of naloxone, improved treatment for people who use drugs, or changes in the street drug supply, which while still quite toxic may be less so due to adulteration with other chemicals? A recent article in NPR, The pipeline of deadly fentanyl into the U.S.
Opioid deaths represented 92% of all overdose deaths in Connecticut. Fentanyl was present in 92% of opioid deaths and 85% of all overdose deaths. In 2023, cocaine was present in 54% of all overdose deaths and 55% of all fentanyl deaths. In 2023, xylazine presence in fatal overdoses decreased by 8% to 286.
Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. 1 Known by street names such as “tranq,” “tranq-dope,” or “zombie drug,” xylazine is increasingly found in patients with opioid overdose. Published online October, 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.
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?
In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, The DPH and these people, they’re not in the field, she said. They felt faint, some even passed out.
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. He was admitted for a suspected kratom overdose and acute kratom withdrawal. A dexmedetomidine (Precedex) 400 mcg in 0.9
A report, Detection of Illegally Manufactured Fentanyls and Carfentanil in Drug Overdose Deaths United States, 20212024 , published on December 5, 2024 in the CDCs Morbidity and Mortality Weekly Report (MMWR) warns of increasing drugs deaths caused by carfentanil. It is purportedly 100 times stronger than fentanyl. Graph from CDC.
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