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Protocol Change

Peter Canning

When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford. People in pulmonary edema got Lasix.

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New Free Book - EMT Pharmacology!

FOAMfrat

We're excited to announce our new EMT Pharmacology book! In this book, we're coving: Oxygen Albuterol and Atrovent Epinephrine Aspirin Nitroglycerin Naloxone Oral Glucose Gel and Glucagon + Flashcards in the back! This book is for students, EMTs, and paramedics who want an in-depth review of EMT medications!

EMT 52
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Rock Bottom

Peter Canning

The man’s hair is long and unmatted, his blue jeans are muddy and his books are wrapped with duct tape. They overdose behind the dumpster where I give them naloxone and put them in the ambulance. As I approach, I see he has the ambu bag out and is providing ventilations to a man who is dusky with agonal respirations. You found him.”

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

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. 2023 [book]. Or one can start methadone induction. Journal of the American Academy of Dermatology.

E-9-1-1 161
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Hitting The Undo Button In The Ambulance

The Good, The Bad & The Ugly Paramedic

An accidental opioid overdose and its nemesis, naloxone. Find It In Advance By paying heed to gut instinct and weighing up the pros and cons, we begin to build a clearer picture in the mind around methods to help us manage, or undo, the unwanted effects of interventions. Some start to sink in right from the early days of education.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? Xylazine Toxicity – Statpearls – NCBI Bookshelf, www.ncbi.nlm.nih.gov/books/NBK594271/. Laboratory Data CBC : Hgb 2.74 (compared to baseline of 9.0); WBC count 17.39 BMP : Na 126; K+ 5.9; up from 0.69) ESR : >100 CRP : 15.94 Accessed 14 Dec.

NARCAN 141