Remove Naloxone Remove NARCAN Remove OR
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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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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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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. I thought the lack of any QRS complex after deflections b, e and h supported my theory of some kind of artifact distortion. QUESTION: Do YOU agree with either Dr. Meyers or myself? We still did not know any history.

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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

In the field, he was given 4 mg intranasal (IN) naloxone and rescue breaths via bag valve mask. He is administered 2mg intravenous (IV) naloxone and shortly after develops precipitated withdrawal with altered mental status, diaphoresis, vomiting, and diarrhea. When should a naloxone infusion be considered?

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OTC Naloxone Availability

Peter Canning

My daughter Zoey had to do 25 hours of volunteer time for her school so I hooked her up with the local harm reduction drop in center, where she helped put together safe drug use kits as well as naloxone rescue kits. We talked about naloxone and how it was now available in pharmacies. Walgreens sold a generic Naloxone for $34.99.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? No, xylazine is a non-narcotic drug and is not an opioid, thus, Narcan will not specifically reverse acute xylazine intoxication. Laboratory Data CBC : Hgb 2.74 (compared to baseline of 9.0); WBC count 17.39 BMP : Na 126; K+ 5.9;

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