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SGEM#179: Chase the Dragon and Naloxone

The Skeptics' Guide to EM

Do heroin overdose patients require observation after receiving naloxone? He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat […] The post SGEM#179: Chase the Dragon and Naloxone first appeared on The Skeptics Guide to Emergency Medicine.

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SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule

The Skeptics' Guide to EM

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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No Time for Pause

Peter Canning

In May, I speculated on some of the reasons for declining rates : Harm reduction and the availability of naloxone. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. This doesn’t include all those resuscitations where bystanders gave naloxone and 911 was never called.

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Overdose Deaths Decline Nationwide

Peter Canning

Harm reduction and the availability of naloxone. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. Now, half the time I arrive, the patient is already awake and talking, having gotten their naloxone either from family, bystander, or police or fire first responders.

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

EM Basic

Today’s episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. Please spread this far and wide and share it with anyone who is concerned about incidental exposure to fentanyl being a concern for first responders.

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Overdose in the Elderly Increasing

Peter Canning

While my partner confirms a low 02 saturation (77%) and a high End Tidal (95) I have already tossed an ambu-bag to a firefighter first responder to begin bagging the patient, and I have my IV and med kit out. Those efforts should include naloxone distribution, harm reduction information, and access to medication assisted therapy.

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Hitting The Undo Button In The Ambulance

The Good, The Bad & The Ugly Paramedic

An accidental opioid overdose and its nemesis, naloxone. Find It In Advance By paying heed to gut instinct and weighing up the pros and cons, we begin to build a clearer picture in the mind around methods to help us manage, or undo, the unwanted effects of interventions. Some start to sink in right from the early days of education.