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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

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. Your partner asks if you want to administer naloxone as well. Today’s study looks at the role of naloxone in OHCA. Naloxone is a well-established medication used primarily for reversing opioid overdoses. JAMA Network Open.

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FDA Extends Narcan Expiration Date

Peter Canning

The FDA this week approved extending the expiration date of all future manufactured Narcan (the 4mg Nasal spray) from 3 years to 4 years. In the case of naloxone, unlike say milk, the product doesn’t spoil and it retains its potency for many years. Yes, naloxone works for years after its expiration date.

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Wrestler

Peter Canning

I take the naloxone out of my med kit, draw up a small amount in a syringe and slowly push it through the IV. We had to give you naloxone. We had to give him some narcan.” “He We gave him a little naloxone and he came around. You should have naloxone in your house. I no longer have to breathe for him. Rest,” I say.

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An Unusual Bradycardia

Dr. Smith's ECG Blog

Narcan was not given at the scene. The "good" news — Treatment with naloxone will probably resolve the bradycardia. The patient was a 20-something woman who was found poorly responsive with altered mental status in her car. Numerous needles from self-injection of opioids were found in the car. There was no indication of hyperkalemia.

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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. We just clean it up.