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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: September 18, 2024 Reference: Dillon et al. 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. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open.

Naloxone 260
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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

The Accu-Chek was 214, and there was no response to empiric Narcan administration. Reference article, Radiopaedia.org (Accessed on 07 Feb 2024) [link] Lobo JL, Holley A, Tapson V. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Anatomy, echocardiography, and normal right ventricular dimensions. J Thromb Haemost.

ED 98
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Case Report: Acute Kratom Withdrawal

ACEP Now

In the acute setting, it is postulated that withdrawal may be brought on by the rapid reversal and displacement of opioid receptors from drugs such as naloxone (Narcan). link] Accessed December 4, 2024. That is, they experienced nausea, vomiting, chills, myalgias, and diarrhea. 6,8,9 Dr. Am J Health Syst Pharm. 2019;76(23):1915-1925.

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Fatal ODs Down Again

Peter Canning

The latest CDC provisional 12-month rolling numbers (through August 2024) are out for fatal overdoses and the news continues to be promising. New Britain sees significant drop in opioid deaths with Narcan training, social services New Britain is reporting a 50% drop in the last 12 months through September. Impressive.