The Skeptics' Guide to EM

SEPTEMBER 21, 2024

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 262

Naloxone NARCAN Overdose CPR 262

EMDocs

APRIL 22, 2024

The Accu-Chek was 214, and there was no response to empiric Narcan administration. Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Time was of the essence, the patient was intubated, ACLS measures were continued, and POCUS was performed.

ED 98

ED ALS NARCAN OR 98

ACEP Now

FEBRUARY 11, 2025

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. It is illegal in six states and not regulated in 33 states. The pathophysiology of withdrawal from kratom use is not well studied.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

Peter Canning

JANUARY 15, 2025

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.

Naloxone 52

Naloxone Overdose NARCAN OR 52