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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

Date: September 18, 2024 Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque.

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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.

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professionals

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Narcan Needs A Break

EMS 20/20

A pair of medics take on a call with a pretty straight forward history with what should have been a pretty straight forward solution. But this is EMS 20/20. A pair of medics take on a call with a pretty straight forward history with what should have been a pretty straight forward solution. But this is EMS 20/20.

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Prehospital Emergency Care Podcast

Prehospital Emergency Care Podcast

In this podcast, we highlight all manuscripts ranging from EBM and Narcan to cervical spine inertia. Well, it's time to get back to our regularly scheduled program and catch up! We bring you our PEC Podcast Volume 23 Number 6 ! So download and check it out today! Click here to download today! As always THANK YOU for listening!

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3 times rule

EMT City

A lot of the time they need Narcan. We've all encountered drug addicts needing EMS. A lot of the time we have to put them in restraints and risk our lives because they are combative. I have had discussions with EMS personnel who advocate a "3 times rule." If you OD on drugs and require EMS, we will help you 3 times.

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REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts

REBEL EM

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. In hindsight, I was not 100% certain, but relaying on my years of training, the voice inside my head and the gnawing feeling in my cut, it felt like the right thing to do.

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Wrestler

Peter Canning

We had to give him some narcan.” “He While my partner helps him find his shoes, I go into the hallway where his mom is still with the police officer. He’s fine,” I say. He’s alert and breathing. He overdosed?” That can’t be!” “His His pupils were pinpoint. He wasn’t breathing well. We gave him a little naloxone and he came around.