The Skeptics' Guide to EM

SEPTEMBER 21, 2024

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.

Naloxone 260

Naloxone NARCAN Overdose CPR 260

Peter Canning

JANUARY 27, 2024

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.

NARCAN 59

NARCAN Naloxone Overdose OR 59

EM Basic

MARCH 13, 2019

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.

Naloxone 52

Naloxone Overdose First Responder NARCAN 52

Dr. Smith's ECG Blog

MAY 5, 2023

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.

E-9-1-1 52

E-9-1-1 NARCAN Naloxone Overdose 52

EMDocs

JANUARY 22, 2025

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?

Naloxone 93

Naloxone E-9-1-1 Overdose NARCAN 93

Peter Canning

FEBRUARY 7, 2025

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.

Naloxone 59

Naloxone NARCAN Overdose OR 59

ALiEM

JANUARY 6, 2025

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;

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141