Remove Naloxone Remove NARCAN Remove Overdose
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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. Rest, you overdosed. We had to give you naloxone. We had to give you naloxone. We had to give him some narcan.” “He He overdosed?” We gave him a little naloxone and he came around.

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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. 100 micrograms is not enough to cause an overdose in an adult. Even if you were to try to overdose on fentanyl patches this is next to impossible.

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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. Numerous needles from self-injection of opioids were found in the car. There was no indication of hyperkalemia. Figure-4: Review of the 2 long lead rhythm strips from today's case.

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