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Protocol Change

Peter Canning

Naloxone was given for coma of unknown etiology; sodium bicarb for cardiac arrests of unknown downtime. I dont the exact year these protocols were implemented, but I know that in 2008 they went from a simple typed document to an algorithm format. The first document had 170 detailed pages, including 51 medications.

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Preventative Care Strategies for Healthier Communities

ESO

A pproximately 65% of these p atients were male , with 63% documented as White non-Hispanic followed by 24% as Black or African American and non-Hispanic. The 2024 ESO EMS Index reveals that 82% of patients with suspected opioid overdoses received naloxone, a medication that can reverse opioid effects.

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Agitation Treatment in the Emergency Department

ACEP Now

Patients with opiate overdose get naloxone. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. This month, we are discussing the medical management of patients with mild to moderate agitation. Patients with sepsis get antibiotics. Patients in DKA get insulin.

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Profound ST depression in II, III, aVF

Dr. Smith's ECG Blog

This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a bystander. That said — adverse effects of acute amphetamine use are well documented — and it is important to remember that acute MI from one of several potential mechanisms must be considered.

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PSA: Incidental Skin and Inhalation Exposure to Fentanyl is NOT a thing!

EM Basic

The only documented case of fentanyl being weaponized was during the Moscow Theatre hostage crisis in 2002 where the Russian government pumped what is suspected to be weaponzied carfentanil and remifentanyl into a theatre where there were hostages being held in an attempt to subdue the hostage takers. We just clean it up.

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An EM Resident’s Guide to Basic Airway Management

Core EM

This document will focus on the anatomical considerations and aspiration risk. naloxone), the person is likely to get intubated. Well consider difficult intubation for our purposes here to mean an intubation that requires multiple attempts with DL or the use of a hyperangulated VL / advanced technique (e.g.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Naloxone (opioid antidote) should be available in ED in case of severe respiratory depression. However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. Monitor vital signs for respiratory depression.

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