The Skeptics' Guide to EM
SEPTEMBER 21, 2024
Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. JAMA Network Open.
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. 2024 study [16]. 2024 Oct 8:S0735-6757(24)00523-0. Published online September 4, 2024.
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Peter Canning
JANUARY 27, 2025
Naloxone was given for coma of unknown etiology; sodium bicarb for cardiac arrests of unknown downtime. We carried Cardizem for rapid a-fib, fentanyl for pain, intranasal naloxone, and Haldol and midazolam for violent emotionally disturbed patients. The 2024 document is 237 pages including 56 medications.
ESO
DECEMBER 18, 2024
After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). One of the biggest findings in the 2024 ESO EMS Index regarding bystander CPR rates is that they vary by background. So, w hat can your agency do?
Peter Canning
SEPTEMBER 19, 2024
For the 12-month period April 2023 to April 2024, deaths fell nationally for the first time, declining by 10%. Deaths are down by 20% in our state when comparing the 12-month period ending November 2021 with the 12-month period ending April 2024, and I have every indication that that trend is continuing through the summer.
Peter Canning
MAY 22, 2024
Preliminary data I have seen from the first four months of 2024 suggests they are on pace to fall another 4%. Harm reduction and the availability of naloxone. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. Why are deaths dropping? I can offer these possible answers. Graphics from CDC
Peter Canning
DECEMBER 14, 2024
” The Drug Enforcement Administration in their 2024 Drug Threat Assessment (May 2024) provided this official analysis: The ban is probably a public relations stunt, however, or an attempt by the cartels to consolidate production among a smaller number of trusted manufacturers and punish others.
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