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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

You and your partner initiate high-quality CPR, place a supraglottic airway, establish intra-osseous (IO) access and administer epinephrine. There is drug paraphernalia scattered around the room. Your partner asks if you want to administer naloxone as well.

Naloxone 262
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Exactly What Is It That an EMT Does?

NCOAE

Depending on the state, EMTs are authorized to administer 10 to 20 different medications, including epinephrine for an anaphylactic reaction, narcan for an overdose, or albuterol for an asthma attack. Basic anatomy and physiology, what causes common diseases like diabetes and asthma, and how to treat emergencies associated with them.

EMT 52
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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

Profound increase in epinephrine concentration in plasma and cardiovascular stimulation after mu-opioid receptor blockade in opioid-addicted patients during barbiturate-induced anesthesia for acute detoxification. PMID: 19731165] Product Information: Narcan(R), naloxone. J Med Toxicol. 2016 Mar;12(1):107-10. Ann Emerg Med.