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REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts

REBEL EM

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. Chest x-ray didn’t look terrible, but the bottom line is I still did not have all the information and didn’t really know what was going on.

NARCAN 58
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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

The Accu-Chek was 214, and there was no response to empiric Narcan administration. Although POCUS exams are learned individually, scanning condition-related anatomic areas provides EPs with critical information, improving the opportunity to rule-in a diagnosis more confidently. 10,11 Vid 1.

ED 98
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How to Become an EMT in New Jersey

Paramedic Training Spot

Those who have been on an ambulance for the past 20 years are a vault of information-listen to their stories, their triumphs, and their failures. The EMT class book in New Jersey may seem daunting, but the information in it can, and will, save somebody’s life. Do every bit of work you can to make the information stick.

EMT 52
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PSA: Incidental Skin and Inhalation Exposure to Fentanyl is NOT a thing!

EM Basic

This police officer “had his life saved” with narcan in this dramatic body camera footage…the substance was later found to be methamphetamine… Below is the script of the podcast edited into the form of a blog post in case you are interested in reading it instead of listening to the podcast.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

No, xylazine is a non-narcotic drug and is not an opioid, thus, Narcan will not specifically reverse acute xylazine intoxication. Thus, Narcan is reasonable to administer in the setting of a suspected overdose since the patients presentation can be due to combined use. However, fentanyl is the most common drug combined with xylazine.

NARCAN 141
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OTC Naloxone Availability

Peter Canning

Yes-21% No-79% Naloxone Cost Narcan generally retailed for $44.99. o Include information on naloxones purpose, how to request it, and whether a trained pharmacist is available to write prescriptions for insured customers. Narcan) and generic alternatives to provide affordable options. Seven pharmacies quoted prices over $60.

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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

doi:10.3109/15563659609013811 Micromedex Drug Information, Naloxone. PMID: 19731165] Product Information: Narcan(R), naloxone. Naloxone–for intoxications with intravenous heroin and heroin mixtures–harmless or hazardous? A prospective clinical study. J Toxicol Clin Toxicol. 1996;34(4):409-416. Ann Emerg Med.