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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

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM.

Naloxone 260
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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ Their back has worsened significantly over the past 24 hours with radiation down the left leg.

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No, I Say

Peter Canning

“We need a lot more naloxone than ever before. The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. Naloxone works against opioids if it is given in time. of repeat naloxone doses were administered five minutes after the previous dose.

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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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Preventative Care Strategies for Healthier Communities

ESO

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). Bystander CPR has been shown to double survival rates compared to cases where no CPR is performed prior to EMS arrival. Want to learn more?

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Ep 116 Emergency Management of Opioid Misuse, Overdose and Withdrawal

Emergency Medicine Cases

In this episode Dr. Kathryn Dong, Dr. Michelle Klaiman and Dr. Aaron Orkin discuss the latest in naloxone in opioid overdose cardiac arrest and altered LOA, a 5-step approach to ED opioid withdrawal management and how we can improve mortality and morbidity in patients with opioid use disorder in the era of the opioid epidemic.

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EM Quick Hits 8 Lemierre’s Syndrome, Clonidine Toxicity, Routine Coag Panel, Anticoagulation Reversal, Mechanical CPR

Emergency Medicine Cases

The post EM Quick Hits 8 Lemierre’s Syndrome, Clonidine Toxicity, Routine Coag Panel, Anticoagulation Reversal, Mechanical CPR appeared first on Emergency Medicine Cases.

CPR 130