ALiEM

OCTOBER 30, 2024

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Treating patients with SUD can be incredibly challenging, especially without a foundation in trauma-informed care principles [20]. Or one can start methadone induction.

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

ALiEM

NOVEMBER 29, 2023

Naloxone will not reverse the effects of xylazine; however, it is routinely given in unresponsive or obtunded patients presenting with an opioid toxidrome. In patients with minimal response to naloxone, xylazine toxicity may be suspected [10]. Opioid overdoses involving xylazine in emergency department patients: a multicenter study.

Naloxone 169

Naloxone Overdose Epinephrine ALS 169

REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. Microdosing and standard‐dosing take‐home buprenorphine from the Emergency Department: A feasibility study. Journal of the American College of Emergency Physicians Open , 1 (6), 1712–1722. PMID 33392580.

Naloxone 97

Naloxone ED Overdose Emergency Department 97

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. The addition of naloxone to the tablets may also provide a confounder in terms of the analgesia provided.

Emergency Department 52

Emergency Department Naloxone ALS OR 52

ACEP Now

AUGUST 29, 2023

Understanding how and why our biases work is an important first step in improving our decision-making, determining information we’re willing to trust, and building relationships. Did you know our brains are wired to take short cuts that sometimes lead to cognitive distortions?

E-9-1-1 52

E-9-1-1 Naloxone Emergency Department EMS 52

EMDocs

JANUARY 22, 2025

In the field, he was given 4 mg intranasal (IN) naloxone and rescue breaths via bag valve mask. He is administered 2mg intravenous (IV) naloxone and shortly after develops precipitated withdrawal with altered mental status, diaphoresis, vomiting, and diarrhea. When should a naloxone infusion be considered?

Naloxone 96

Naloxone E-9-1-1 Overdose NARCAN 96

ALiEM

JANUARY 6, 2025

The pain worsened today, prompting him to come to the emergency department for evaluation. Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? The patient reported a wound to his left leg that had become larger over the past 5 months. BMP : Na 126; K+ 5.9; up from 0.69) ESR : >100 CRP : 15.94

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141