The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Sixty minutes after receiving naloxone he is GCS 15 and walking to the desk demanding to be discharged.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

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.

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Emergency Department Naloxone ALS OR 52

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. While naloxone can treat fentanyl overdose, overdose symptoms may persist when xylazine is involved. Opioid overdoses involving xylazine in emergency department patients: a multicenter study. Alexander RS, et al.

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Overdose ALS Naloxone Emergency Department 98

ACEP Now

AUGUST 29, 2023

Visit acep.org/equal-opioids-webinars to view these videos on demand: Equity in ED Care for Opioid Use Disorder presented by Dr. Elizabeth Samuels and Dr. Utsha Khatri The Naloxone Project presented by Dr. Don Stader Starting Buprenorphine in the Emergency Department to Help People Using Fentanyl presented by Dr. Andrew Herring EMS Public Health Initiative (..)

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

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]. Psychosis is now being witnessed with naloxone reversal in some cases, and the impact of these novel contaminants on withdrawal syndromes and wounds remain unknown. 2024.10.006].

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

EMDocs

JUNE 27, 2024

mg q20-30 min per dose) PRN naloxone in case of respiratory depression Some patients have SCD crises pain plan for reference Antimicrobials 11 Ceftriaxone + azithromycin if penicillin allergy for both children and adults. C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1

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E-9-1-1 ICU ACS EMS 76

ACEP Now

DECEMBER 10, 2023

A middle-aged male with squamous cell carcinoma and extensive metastases is brought to the emergency department (ED) after being found unresponsive following a believed suicide attempt (SA) by methadone ingestion. Though paramedics administered naloxone, he remained somnolent. You order IV potassium and magnesium.

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Naloxone Life Support Paramedic ALS 52

Don't Forget the Bubbles

JULY 5, 2023

Naloxone (opioid antidote) should be available in ED in case of severe respiratory depression. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. In addition to opiates, continue to offer paracetamol and NSAIDS (unless contraindicated).

E-9-1-1 125

E-9-1-1 ACS OR ICU 125