Peter Canning

DECEMBER 6, 2023

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. He overdosed?” We gave him a little naloxone and he came around. You should have naloxone in your house.

Naloxone 52

Naloxone Overdose NARCAN 52

Prehospital Emergency Care Podcast

MAY 21, 2021

Melody Glenn ( @MGlennEM ) Dr. Jeremy Cushman ( @hws96 ) about their manuscripts Refusals After Prehospital Administration of Naloxone during the COVID-19 Pandemic and Degree of Bystander-Patient Relationship and Prehospital Care for Opioid Overdose EMS Chain of Survival while discussing the idea of utilizing a Chain of Survival for patients suffering (..)

Naloxone 52

Naloxone Overdose EMS 52

Prehospital Emergency Care Podcast

JULY 28, 2022

As always THANK YOU for listening. Hawnwan Philip Moy MD ( @pecpodcast) Scott Goldberg MD, MPH ( @EMS_Boston ) Jeremiah Escajeda MD, MPH ( @jerescajeda ) Joelle Donofrio-Odmann DO ( @PEMems) Maia Dorsett MD PhD ( @maiadorsett ) Lekshmi Kumar MD, MPH ( @gradyMED1 )

Naloxone 52

Naloxone Overdose EMS 52

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.

Overdose 52

Overdose OR Coronary ACS 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 ALS Naloxone 52

The Good, The Bad & The Ugly Paramedic

MARCH 1, 2021

An accidental opioid overdose and its nemesis, naloxone. Find It In Advance By paying heed to gut instinct and weighing up the pros and cons, we begin to build a clearer picture in the mind around methods to help us manage, or undo, the unwanted effects of interventions. Some start to sink in right from the early days of education.

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 BLS 130

ALiEM

NOVEMBER 29, 2023

Recently, xylazine has gained attention in the media with increasing reports of xylazine-related overdose deaths in patients. When combined with illicit opioids such as heroin and fentanyl, xylazine may increase the risk of fatal overdose given the augmented sedation and respiratory depression effects [2]. Published May 2023.

Naloxone 169

Naloxone Overdose Epinephrine ALS 169

The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. The EMS crew observes drug paraphernalia and suspect an intravenous (IV) opioid overdose.

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

Peter Canning

SEPTEMBER 10, 2024

Across the nation states are passing initiatives to allow EMS services to leave naloxone kits on scene with at risk patients, their family, friends or bystanders. Each kit contains two 4 mg Naloxone intranasal devices, and instruction card for use, a CPR face shield, and instructions on how to access services.

Naloxone 52

Naloxone EMS Overdose Emergency Medical Services 52

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

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

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

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%. per 100,000.

Overdose 59

Overdose Naloxone Firefighter EMS 59

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

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

JEMS

APRIL 8, 2025

The animal tranquilizers xylazine and medetomidine are in approximately one-third of the illegal opioids available in the U.S.

Naloxone 52

Naloxone Overdose NARCAN 52

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

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

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. Even if you were to try to overdose on fentanyl patches this is next to impossible.

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

EMOttawa

MARCH 28, 2024

Over the past 10 years, opioid overdoses and deaths have continued to climb in Ontario, now surpassing the annual death toll from road traffic accidents. Opioid use disorder is a terrible disease that takes over people’s lives and leaves them overwhelmed, consumed by compulsions and cravings, and often alone.

Overdose 74

Overdose Naloxone 74

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

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

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

APRIL 9, 2025

You are dispatched for an overdose. You suspect he took an opioid and that some passerby gave him naloxone as there is a used naloxone vial under the bench that doesn’t look like it has been there forever. You find a 48-year-old homeless man sitting on a park bench, eyes closed, nodding forward. Hospital be damned.”

Naloxone 52

Naloxone Overdose Ambulance EMS 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 98

Naloxone E-9-1-1 Overdose NARCAN 98

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 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. They felt faint, some even passed out.

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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

Peter Canning

NOVEMBER 13, 2024

The latest CDC data released today show US overdose deaths are down 16.74% from the rolling 12-month high of 111,802 in August of 2023 to June 2024 count of 93,087(the latest provisional data available). Harm reduction workers in Hartford Connecticut, making Naloxone kits. We will win this war.

Overdose 59

Overdose Naloxone 59

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

APRIL 14, 2025

This week I attended a meeting in the Governors office in the state capitol to advocate for a bill creating the states first overdose prevention center. We also had two speakers who appeared via zoom, a public interest lawyer and a woman who ran the overdose prevention site in nearby Rhode island.

Overdose 52

Overdose Naloxone Paramedic OR 52

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