Peter Canning

MAY 22, 2024

Drug overdose deaths are down 3.1% 107,543 people died of drug overdoses in 2023 down from 111,029 in 2022. Here in Connecticut, drug overdose deaths have been decreasing for the last two years (down 14% in 2023 from the 2021 high). Harm reduction and the availability of naloxone. Why are deaths dropping?

Overdose 52

Overdose Naloxone First Responder OR 52

Peter Canning

OCTOBER 1, 2024

Is the decline in drug overdose deaths more related to the increased availability of naloxone, improved treatment for people who use drugs, or changes in the street drug supply, which while still quite toxic may be less so due to adulteration with other chemicals? A recent article in NPR, The pipeline of deadly fentanyl into the U.S.

Overdose 52

Overdose Naloxone OR 52

Peter Canning

JANUARY 20, 2024

mg of Naloxone X 2, and now the ETCO2 drops to 45, the SAT soon comes up to 99 and the patient opens her eyes and lifts her head, surprised to find herself surrounded by EMS and Fire. I have called the time on a number of her neighbors in this building, some of them victims of overdose. of all overdoses to 11.1%. Pinpoint.

Overdose 59

Overdose Naloxone Firefighter First Responder 59

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 88

Naloxone ED Overdose Emergency Department 88

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

Peter Canning

MARCH 5, 2024

Opioid deaths represented 92% of all overdose deaths in Connecticut. Fentanyl was present in 92% of opioid deaths and 85% of all overdose deaths. In 2023, cocaine was present in 54% of all overdose deaths and 55% of all fentanyl deaths. In 2023, xylazine presence in fatal overdoses decreased by 8% to 286.

Overdose 52

Overdose Naloxone EMS OR 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

SEPTEMBER 19, 2024

overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. In May, I speculated on some of the reasons for declining rates : Harm reduction and the availability of naloxone. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. We know what works!

Naloxone 52

Naloxone Overdose First Responder OR 52

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

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

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

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

DECEMBER 14, 2024

One thing is clear, fatal drug overdoses are down dramatically in the US and are continuing to drop. Widespread naloxone availability, increased harm reduction efforts and a focus on treatment, particularly medication assisted therapy may also be having a large impact on the declining death rate.

Naloxone 52

Naloxone Overdose OR 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 EMT 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 Naloxone ALS 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

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?

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Naloxone E-9-1-1 Overdose NARCAN 93

Peter Canning

MARCH 12, 2025

Fatal Overdoses continue to show a decline both nationally (27.5% Source: CDC From the data I have seen Connecticut overdoses will show a decline through the end of 2024, but may be inching back up again in 2025. Keep getting the naloxone out there. from the June 2023 rolling 12-month high) and here in Connecticut (32.7%

Overdose 59

Overdose Naloxone OR 59

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? Thus, Narcan is reasonable to administer in the setting of a suspected overdose since the patients presentation can be due to combined use. However, fentanyl is the most common drug combined with xylazine.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

Peter Canning

FEBRUARY 13, 2025

In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, The DPH and these people, they’re not in the field, she said. We don’t have that luxury.

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Naloxone Overdose Emergency Medical Services EMS 64

Peter Canning

JANUARY 15, 2025

The latest CDC provisional 12-month rolling numbers (through August 2024) are out for fatal overdoses and the news continues to be promising. The US reported overdose fatal numbers are down 23.2 % from the August 2023 high. * In Connecticut reported overdoses are down 29.9% Impressive. Pinpoint pupils, agonal breathing.

Naloxone 52

Naloxone Overdose NARCAN OR 52

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. He was admitted for a suspected kratom overdose and acute kratom withdrawal. A dexmedetomidine (Precedex) 400 mcg in 0.9

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

Peter Canning

MARCH 2, 2025

A report, Detection of Illegally Manufactured Fentanyls and Carfentanil in Drug Overdose Deaths United States, 20212024 , published on December 5, 2024 in the CDCs Morbidity and Mortality Weekly Report (MMWR) warns of increasing drugs deaths caused by carfentanil. Potency must be considered in relation to volume. Graph from CDC.

Overdose 59

Overdose Naloxone OR 59

Peter Canning

DECEMBER 6, 2024

Why are overdoses fatalities dropping? Today, I want to examine one possible factor — the increasing presence of xylazine in the drug supply, which I have written about before Xylazine Hysteria Xylazine Decreases Overdose Deaths? All have seen declining fatal overdose rates. Overdose deaths are down significantly.

Overdose 52

Overdose Naloxone Emergency Department OR 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.

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Overdose Naloxone OR 52

Peter Canning

NOVEMBER 9, 2024

This expansion should include patients in prison, many pf whom are in jail due to the substance use disorder and who are at high risk of overdose and death on their release, The US will continue to support harm reduction, including widespread naloxone availability, syringe exchange and the development of overdose prevention sites.

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Naloxone Overdose OR EMS 59