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This was written by one of our really fine 3rd year residents, Katie Buerk. This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He had last been seen 3-7 days ago. For the medics, he was bradycardic in the 20-30s. They were unable to obtain a blood pressure. On arrival to the ED, he was breathing spontaneously, had faint pulses, and was cool to the touch.
Back in 2016 when the opioid epidemic was starting to heat up, I started paying attention to the heroin bags laying on the ground. The bags were Small glassine envelopes that hold 0.1 grams of powder (mix of opioids like heroin or fentanyl and cut with adulterants like sugars, baby formula, etc) when full, often stamped with branded names like Scorpion, Black Jack, and Rolex.
Cheshire County EMS, the county-wide ambulance service provider run byCheshire County, announced Thursday it is partnering with aPeterborough-based training company to offer certification courses for several levels of emergency response.
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