REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% In addition, buprenorphine has a lower risk of death from overdose when compared to methadone (2). Initial doses ranged between 0.2 PMID 33392580.

Naloxone 95

Naloxone ED Overdose Emergency Department 95

Peter Canning

JANUARY 27, 2024

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. Yes, naloxone works for years after its expiration date. Bottom line: If someone is overdosing and your expired naloxone is all you have, use it.

NARCAN 59

NARCAN Naloxone Overdose OR 59

The Skeptics' Guide to EM

AUGUST 27, 2022

Case: A 24-year-old male presents to the emergency department (ED) after a fentanyl overdose. He is successfully resuscitated using naloxone and is stable after an observation period. You are interested in seizing this opportunity to offer some type of help to this patient to prevent another opioid overdose in his future.

Emergency Department 100

Emergency Department Naloxone Overdose ED 100

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

He awoke with naloxone. The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. This EKG was recorded as part of a standing order for critical care. He denied any CP or SOB. It does not radiate.

Overdose 52

Overdose OR Coronary ACS 52

ACEP Now

JULY 7, 2023

Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. 1 Known by street names such as “tranq,” “tranq-dope,” or “zombie drug,” xylazine is increasingly found in patients with opioid overdose. Drug and Alcohol Dependence.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

Peter Canning

OCTOBER 30, 2023

We’re dispatched to an overdose on Ashley Street. I have done many overdoses like this one of homeless people who were in fact down alleys and behind dumpsters. They appeared in court or were hospitalized for overdose. They overdose behind the dumpster where I give them naloxone and put them in the ambulance.

Overdose 52

Overdose BLS EMT EMT 52

Peter Canning

JANUARY 14, 2024

Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 Paramedics may administer buprenorphine to patient in precipitated withdrawal following naloxone resuscitation provided the patient meets required criteria and agrees to hospital transport.* mg via syringe.* micrograms/kg/min. .*

CPR 52

CPR Naloxone Advanced Life Support EMT 52

Dr. Smith's ECG Blog

MAY 5, 2023

Krantz et al authored a State-of-the-Art Review on Cardiovascular Complications of Opioid Use ( JACC 77(2):205-223, 2021 ) — in which mechanisms from Opioid Overdose that detail arrhythmia production ( up to cardiac arrest ) are elucidated — thereby providing an explanation for the unusual arrhythmias in today's case.

E-9-1-1 52

E-9-1-1 NARCAN Naloxone Overdose 52

ACEP Now

JULY 7, 2023

Patients with opiate overdose get naloxone. This month, we are discussing the medical management of patients with mild to moderate agitation. Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with sepsis get antibiotics. Patients in DKA get insulin.

Emergency Department 52

Emergency Department ED ALS Naloxone 52

The Good, The Bad & The Ugly Paramedic

MARCH 1, 2021

An accidental opioid overdose and its nemesis, naloxone. Every intervention that we introduce on emergency calls is intended to make a difference. Improve the situation in one way or another. Some will work and cause an effect that makes things better. Others will not, and may result in making things much worse.

Ambulance 52

Ambulance Paramedic Naloxone First Responder 52

The Skeptics' Guide to EM

MAY 21, 2017

Do heroin overdose patients require observation after receiving naloxone? He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat […] The post SGEM#179: Chase the Dragon and Naloxone first appeared on The Skeptics Guide to Emergency Medicine.

Naloxone 130

Naloxone Overdose First Responder Emergency Department 130

EM Basic

MARCH 13, 2019

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. First responders face danger every day and they don’t know when or where it’s coming from.

Naloxone 52

Naloxone Overdose First Responder NARCAN 52

AAEM RSA

APRIL 18, 2021

Practices were being implemented to help prevent reckless opioid prescribing and increase availability of naloxone which, to an extent, were working. In 2018, drug overdose deaths dropped for the first time in 20 years. In 2018, drug overdose deaths dropped for the first time in 20 years. Unfortunately, not right at all.

Overdose 52

Overdose Naloxone OR 52