Emergency Medicine Cases

SEPTEMBER 10, 2019

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

CPR EMS Naloxone 130

REBEL EM

JUNE 5, 2023

This study investigated whether it is feasible to initiate buprenorphine/naloxone in the form of “take home” packages containing low-dose and standard-dose inductions. REBEL Cast Ep117: Low-Dose vs Standard-Dose Take Home Buprenorphine From the ED Click here for Direct Download of the Podcast Paper: Moe et. PMID 33392580.

Naloxone 88

Naloxone ED Overdose Emergency Department 88

Prehospital Emergency Care Podcast

MAY 21, 2021

Melody Glenn ( @MGlennEM ) Dr. Jeremy Cushman ( @hws96 ) about their manuscripts Refusals After Prehospital Administration of Naloxone during the COVID-19 Pandemic and Degree of Bystander-Patient Relationship and Prehospital Care for Opioid Overdose EMS Chain of Survival while discussing the idea of utilizing a Chain of Survival for patients suffering (..)

Naloxone 52

Naloxone Overdose EMS 52

Prehospital Emergency Care Podcast

JULY 28, 2022

As always THANK YOU for listening. Hawnwan Philip Moy MD ( @pecpodcast) Scott Goldberg MD, MPH ( @EMS_Boston ) Jeremiah Escajeda MD, MPH ( @jerescajeda ) Joelle Donofrio-Odmann DO ( @PEMems) Maia Dorsett MD PhD ( @maiadorsett ) Lekshmi Kumar MD, MPH ( @gradyMED1 )

Naloxone 52

Naloxone Overdose EMS 52

Peter Canning

JANUARY 20, 2024

mg of Naloxone X 2, and now the ETCO2 drops to 45, the SAT soon comes up to 99 and the patient opens her eyes and lifts her head, surprised to find herself surrounded by EMS and Fire. EMS in Connecticut is required by regulation to call the Poison Control Center to report all suspected opioid overdoses they respond to.

Overdose 59

Overdose Naloxone Firefighter First Responder 59

Emergency Medicine Cases

OCTOBER 9, 2018

In anticipation of EM Cases Episode 116 on Opioid Misuse, Overdose and Withdrawal, Dr. Michelle Klaiman, Addictions and Emergency Medicine specialist, tells her Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come - even when they present with simple, run-of-the-mill diagnoses - by thinking outside the (..)

Overdose 130

Overdose ED EMS Naloxone 130

Peter Canning

MARCH 5, 2024

EMS has a pivotal role in helping to combat these deaths, both but providing resuscitation with naloxone, but also in helping steer those resuscitated patients toward treatment and harm reduction resources. While the decline is good news, the number of people in our state (1217) succumbing to opioid deaths is still achingly high.

Overdose 52

Overdose Naloxone EMS OR 52

The Overrun Podcast

JULY 3, 2019

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. What does this mean?

Mobile Intensive Care Unit 52

Mobile Intensive Care Unit Paramedic Naloxone EMT 52

EM Basic

MARCH 13, 2019

DISCLAIMER : I’m not doing this episode to discredit those in law enforcement, the fire service, EMS, or any other first responders. Nothing happens, no one dies and no one needs naloxone. He felt tired and then a few minutes later loaded himself up with naltrexone which is a long acting version of naloxone. We just clean it up.

Naloxone 52

Naloxone Overdose First Responder NARCAN 52

Peter Canning

JANUARY 14, 2024

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.* mg via syringe.* micrograms/kg/min. .*

CPR 52

CPR Naloxone EMT EMT 52

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 (..)

E-9-1-1 52

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

Peter Canning

OCTOBER 30, 2023

In EMS many times when we meet persons with opioid use disorder (the correct language to describe what we used to call junkies — a stigmatized term that originated with “junk men” people who went through garbage –the connotation indicating human trash), we find them at rock bottom. Good job,” I say to the young EMT.

Overdose 52

Overdose BLS EMT EMT 52

ALiEM

OCTOBER 30, 2024

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.

E-9-1-1 161

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

ACEP Now

JULY 7, 2023

Patients with opiate overdose get naloxone. Wilson MP, Chen N, Vilke GM, Castillo EM, MacDonald KS, Minassian A. This month, we are discussing the medical management of patients with mild to moderate agitation. Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with sepsis get antibiotics.

Emergency Department 52

Emergency Department ED Naloxone ALS 52

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. Sundd P, Gladwin MT, Novelli EM. C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

E-9-1-1 97

E-9-1-1 ICU ACS EMS 97

Peter Canning

FEBRUARY 13, 2025

ACMT & AACT Joint Position Statement on Nalmefene Should Not Replace Naloxone as the Primary Opioid Antidote at This Time. Fact: Newer synthetic fentanyls do not require more doses of naloxone than traditional to reverse an overdose. Naloxone Dosing After Opioid Overdose in the Era of Illicitly Manufactured Fentanyl.

Naloxone 64

Naloxone Overdose Emergency Medical Services EMS 64

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

Core EM

JANUARY 16, 2025

An EM Residents Guide to Basic Airway Management Authors: Justin Rice, MD Sagar Desai, MD Eunice Monge, MD William Chiang, MD Preface: Airway management is one of the most critical skills in emergency medicine, yet it can be one of the most challenging to master. naloxone), the person is likely to get intubated.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130

Peter Canning

NOVEMBER 9, 2024

Still, just based on public statements, it seemed the alternative was likely to be closer to send them all up the river, put ‘em behind bars and throw away the keys than the more moderate drug policy we have seen under Biden/Harris. Make naloxone available at little or no cost to the public. Well, the people have spoken.

Naloxone 59

Naloxone Overdose OR EMS 59