ALS Emergency Department Naloxone 
ALiEM
OCTOBER 30, 2024
Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. 2024 study [16].
The Skeptics' Guide to EM
MAY 21, 2017
[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Do heroin overdose patients require observation after receiving naloxone? Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. Clinical Toxicology 2017.
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The Skeptics' Guide to EM
AUGUST 27, 2022
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.
The Skeptics' Guide to EM
JANUARY 19, 2019
Date: January 17th , 2019 Reference: Clemency et al. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Date: January 17th , 2019 Reference: Clemency et al. Sixty minutes after receiving naloxone he is GCS 15 and walking to the desk demanding to be discharged.
ALiEM
NOVEMBER 29, 2023
Naloxone will not reverse the effects of xylazine; however, it is routinely given in unresponsive or obtunded patients presenting with an opioid toxidrome. In patients with minimal response to naloxone, xylazine toxicity may be suspected [10]. PMID: 34529640 Ayub S, Parnia S, Poddar K, et al. MMWR Morb Mortal Wkly Rep.
REBEL EM
JUNE 5, 2023
One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). mg SL BID One-half tablet 3 Buprenorphine 2 mg–naloxone 0.5
ACEP Now
JULY 7, 2023
Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with opiate overdose get naloxone. References American College of Emergency Physicians Clinical Policies Subcommittee on the Adult Psychiatric P, Nazarian DJ, Broder JS, et al. Ann Emerg Med. West J Emerg Med.
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