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This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. Annie Duke, a former World Series of Poker champion, details s ome of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets.
Sure, the classwork comes from a book, and if you take notes, and learn terminology, you should be good, right? The EMT class book in New Jersey may seem daunting, but the information in it can, and will, save somebody’s life. Don’t stop at reading the book, take notes, highlight, and fill out the workbooks if one is provided to you.
The Accu-Chek was 214, and there was no response to empiric Narcan administration. Marino’s the ICU book, Wolters Kluwer Health, pgs 105-109, 4th ed., Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). 2014 May;145(5):950-957. Marino, P.
No, xylazine is a non-narcotic drug and is not an opioid, thus, Narcan will not specifically reverse acute xylazine intoxication. Thus, Narcan is reasonable to administer in the setting of a suspected overdose since the patients presentation can be due to combined use. However, fentanyl is the most common drug combined with xylazine.
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