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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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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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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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Overdose in the Elderly Increasing

Peter Canning

In ordinary times, I would on first glance guess the patient may have had a stroke, a cardiac arrhythmia, or a hypoglycemic episode, but now once I confirm a pulse, and witness an agonal breath, I check the patient’s pupils. Pinpoint. I am no longer surprised by this not uncommon finding. in 2020 to 8.6% in 2020 to 4.1%.

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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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Hitting The Undo Button In The Ambulance

The Good, The Bad & The Ugly Paramedic

An accidental opioid overdose and its nemesis, naloxone. Every intervention that we introduce on emergency calls is intended to make a difference. Improve the situation in one way or another. Some will work and cause an effect that makes things better. Others will not, and may result in making things much worse.