Remove EMS Remove EMT Remove Naloxone
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Protocol Change

Peter Canning

Naloxone was given for coma of unknown etiology; sodium bicarb for cardiac arrests of unknown downtime. We carried Cardizem for rapid a-fib, fentanyl for pain, intranasal naloxone, and Haldol and midazolam for violent emotionally disturbed patients. People in pulmonary edema got Lasix. Six PVCs in a minute and you got lidocaine.

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Episode 40-Buprenorphine and New Jersey Paramedics: Perfect Together?

The Overrun Podcast

Paramedics and EMTs can rescue patients with naloxone, but are we the right avenue to start people toward recovery? The State of New Jersey, in the throes of an enormous opioid epidemic, has unveiled allowing their Mobile Intensive Care Units (Paramedics) to administer buprenorphine as a part of an optional formulary.

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Recerts and New Protocols

Peter Canning

Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 Paramedics may administer buprenorphine to patient in precipitated withdrawal following naloxone resuscitation provided the patient meets required criteria and agrees to hospital transport.* EMTs may administer 0.3 mg via syringe.*

CPR 52
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Rock Bottom

Peter Canning

An EMT is already wheeling the stretcher down a short alley where his partner is kneeling by the dumpster. Good job,” I say to the young EMT. The young EMT did and it helped us find this lost soul. They overdose behind the dumpster where I give them naloxone and put them in the ambulance. You found him.”

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

EM Basic

DISCLAIMER : I’m not doing this episode to discredit those in law enforcement, the fire service, EMS, or any other first responders. I was an EMT-B in southeastern Pennsylvania for 10 years before starting my emergency medicine residency so I know how tough your jobs are on a daily basis. We just clean it up.