EMDocs

NOVEMBER 6, 2023

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Editorial Comment: Naloxone first, flumazenil only for pure benzo’s (e.g., Give naloxone for suspected opioid overdose and respiratory compromise/arrest. COR No Benefit, LOE C-EO. COR Harm, LOE B-R. if used for sedation).

Naloxone 115

Naloxone OR BLS Overdose 115

Critical Care Scenarios

OCTOBER 11, 2023

Takeaway lessons * Type B dissections do not involve the heart or coronaries, but Type A vs B nomenclature is falling out of favor versus more anatomically specific labeling; this system helps characterize the gray area between the innominate and the left subclavian. * Find us on Patreon here! Buy your merch here!

Naloxone 100

Naloxone Coronary OR 100

Dr. Smith's ECG Blog

JULY 27, 2023

This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a bystander. I was not worried for a coronary etiology. He then received bag-valve-mask ventilations for several minutes until he became responsive. and had dilated pupils.

Coronary 52

Coronary ACS Naloxone Plasma 52

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. He awoke with naloxone. which would suggest reduced rates of major adverse cardiac events with coronary artery bypass grafting." He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival.

Overdose 52

Overdose OR Coronary ACS 52