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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

You and your partner initiate high-quality CPR, place a supraglottic airway, establish intra-osseous (IO) access and administer epinephrine. Your partner asks if you want to administer naloxone as well. Background: We’ve discussed out-of-hospital cardiac arrest (OHCA) at least once or twice on the SGEM (see long list at end of blog).

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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. Previously (in 2020) the FDA extended the expiration dates from 2 years to three yea rs. I applaud the extension of the expiration dates.

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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. How sure are you? Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?

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Exactly What Is It That an EMT Does?

NCOAE

Depending on the state, EMTs are authorized to administer 10 to 20 different medications, including epinephrine for an anaphylactic reaction, narcan for an overdose, or albuterol for an asthma attack. Depending on where you live, you may see them every day or just when there’s a fire, police, or medical emergency where you are.

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An Unusual Bradycardia

Dr. Smith's ECG Blog

Narcan was not given at the scene. These mathematical relationships of relative deflection size with absence of any deflection at all in lead I — are most commonly encountered when there is some type of artifact caused by movement or other interference originating from the Left Leg. QUESTION: Do YOU agree with either Dr. Meyers or myself?

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How to Become an EMT in New Jersey

Paramedic Training Spot

Learning how to become an EMT in New Jersey, or an Emergency Medical Technician to be specific, is not an overnight accomplishment. Not only are you training to be a Garden State EMT, you are studying to become Nationally Registered, which is a relatively new requirement for the state.

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