Podcast 673: Leaving the ED with Naloxone
Emergency Medical Minute24 Touko 2021

Podcast 673: Leaving the ED with Naloxone

Contributor: Don Stader, MD

Educational Pearls:

  • Patients are more likely to survive an opioid overdose if they have naloxone
  • 10% risk of death in the year following an opioid overdose of patients seen in the ED
  • Those who receive naloxone:
    • Have better survival rates
    • Are more likely to enter recovery
    • Are more likely to use the naloxone on another person who has overdosed
  • Better to give the patient naloxone at discharge from the ED as rates of filling prescriptions are low
  • Any patient who uses illicit drugs, chronic opioid medications, or opioids with benzodiazepines are good candidates for naloxone at discharge
  • Remember to instruct the patient and those who live with them on how to use it

References

Gunn AH, Smothers ZPW, Schramm-Sapyta N, Freiermuth CE, MacEachern M, Muzyk AJ. The Emergency Department as an Opportunity for Naloxone Distribution. West J Emerg Med. 2018;19(6):1036-1042. doi:10.5811/westjem.2018.8.38829

Olfson M, Wall M, Wang S, Crystal S, Blanco C. Risks of fatal opioid overdose during the first year following nonfatal overdose. Drug Alcohol Depend. 2018;190:112-119. doi:10.1016/j.drugalcdep.2018.06.004

Olfson M, Crystal S, Wall M, Wang S, Liu SM, Blanco C. Causes of Death After Nonfatal Opioid Overdose [published correction appears in JAMA Psychiatry. 2018 Aug 1;75(8):867]. JAMA Psychiatry. 2018;75(8):820-827. doi:10.1001/jamapsychiatry.2018.1471

http://naloxoneproject.com/

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.

Donate to EMM today!



Jaksot(1145)

Podcast # 422: ED Opioid Prescription Trends

Podcast # 422: ED Opioid Prescription Trends

Author: Jared Scott, MD Educational Pearls: From 1996 to 2012, the total quantity of opioids prescribed increased 647% for non-cancer pain Office based prescriptions accounted for 84% of the total ...

11 Tammi 20194min

Podcast # 421: Sweet DKA Pearls

Podcast # 421: Sweet DKA Pearls

Author: Gretchen Hinson, MD Educational Pearls:   Diabetic ketoacidosis patients are subject to electrolyte derangements Potassium should be monitored closely: K 3.3 K > 5.3 = delay potassium repl...

9 Tammi 20194min

Podcast # 420: CT Contrast and the Kidneys

Podcast # 420: CT Contrast and the Kidneys

Author: Don Stader, MD Educational Pearls: Recent meta-analysis has demonstrated that there is no significant risk for kidney injury from CT contrast Most kidney injury seen after contrast CTs wer...

7 Tammi 20192min

Podcast # 419: Etripamil

Podcast # 419: Etripamil

Author: Don Stader, MD Educational Pearls: Etripamil is an intranasal calcium channel blocker in development for use in SVT A recent study showed that etripamil has an SVT conversion rate of arou...

20 Joulu 20183min

Podcast # 418: Vertebral Artery Dissection

Podcast # 418: Vertebral Artery Dissection

Author: Don Stader, MD Educational Pearls: Vertebral artery dissection (VAD) contributes to just 2% of strokes overall but ~25% of strokes for patients VAD is associated with minor trauma (chiroprac...

17 Joulu 20183min

Podcast # 417: Water Balance

Podcast # 417: Water Balance

Author: Katie Sprinkle, MD Educational Pearls: Hyponatremia results when patients over hydrate and dilute their sodium with too much free water Symptoms of hyponatremia can mimic symptoms of dehydrat...

15 Joulu 20183min

Podcast # 416: Wide Complex Tachycardia

Podcast # 416: Wide Complex Tachycardia

Author: Aaron Lessen, MD Educational Pearls: Defined as QRS over 120 ms and rate over 120 Two major rhythms = Vetricular tachycardia (VT) or SVT with aberrancy Safest approach is to assume it is VT S...

12 Joulu 20183min

Podcast # 415: Myofascial Pain Syndrome & Fibromyalgia

Podcast # 415: Myofascial Pain Syndrome & Fibromyalgia

Author: Ryan Circh, MD Educational Pearls: Myofascial pain syndrome (MFPS) is typically unilateral with discrete points of palpable pain Often secondary to repeated use and poor posture. MFPS typical...

10 Joulu 20182min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
rss-duodecim-lehti
docemilia
utelias-mieli
filocast-filosofian-perusteet
rss-ammamafia
rss-astetta-parempi-elama-podcast
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-sosiopodi
rss-tiedetta-vai-tarinaa