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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

He currently practices emergency medicine in New Mexico in the ED, in the field with EMS and with the UNM Lifeguard Air Emergency Services. Naloxone is a well-established medication used primarily for reversing opioid overdoses. Before attending medical school, he was a New York City Paramedic.

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

EM Basic

Today’s episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. 100 micrograms is not enough to cause an overdose in an adult. Even if you were to try to overdose on fentanyl patches this is next to impossible.

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Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. He was admitted for a suspected kratom overdose and acute kratom withdrawal. A dexmedetomidine (Precedex) 400 mcg in 0.9 6,8,9 Dr.

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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

In the ED, he develops recurrent respiratory depression and hypoxia to 80%. Background: Fentanyl has contributed to a significant increase in drug overdose deaths in recent years. How long should they stay in the ED? Clinical Pearls: Naloxone is lifesaving in opioid overdoses. The answer is, its complicated.

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The Pitt

Peter Canning

Sure there a few minor points I could nitpick, but the show does a phenomenal job of educating about the conditions that patients face and explaining the treatments the ED staff provides. The shows’ focus is inside the ED and the staff who make it run. She is given fentanyl test strips and take home Narcan just in case.

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