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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

Naloxone is a well-established medication used primarily for reversing opioid overdoses. Traditionally, naloxone has been used in cases of suspected opioid overdose where patients exhibit signs of severe respiratory depression or loss of consciousness (LOC). Today’s study looks at the role of naloxone in OHCA.

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Narcan Box Installed at Jackson (MI) Fire Department to Combat Opioid Overdoses

JEMS

The Jackson Fire Departmentis taking a proactive approach to preventing opioid overdoses with the installation of a publicly-accessible Narcan box.

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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. Bottom line: If someone is overdosing and your expired naloxone is all you have, use it.

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Wrestler

Peter Canning

Rest, you overdosed. We had to give him some narcan.” “He He overdosed?” She isn’t the first mother who has been shocked to find her child has overdosed. I tell her how to recognize an overdose and where to get naloxone and how to use it. I no longer have to breathe for him. It’s okay,” I say. Rest,” I say.

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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. The patient came in working hard to breath, had minimal improvement after meds and treatments and was clearly tiring.

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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. Basic anatomy and physiology, what causes common diseases like diabetes and asthma, and how to treat emergencies associated with them.

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An Unusual Bradycardia

Dr. Smith's ECG Blog

Narcan was not given at the scene. Numerous needles from self-injection of opioids were found in the car. There was no indication of hyperkalemia.

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