Podcast 673: Leaving the ED with Naloxone

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!



Episoder(1145)

Podcast #398:  Who is gonna fail your antibiotic plan?

Podcast #398: Who is gonna fail your antibiotic plan?

Author: Erik Verzemnieks, MD Educational Pearls: Recent study provides at least some evidence to help predict antibiotic failure for cellulitis, which is not necessarily straight forward Intuitive ri...

29 Okt 20181min

Podcast #397: Oh… Pharyngeal Trauma

Podcast #397: Oh… Pharyngeal Trauma

Author: Aaron Lessen, MD Educational Pearls: Injuries from penetrating pharyngeal trauma are often subtle on examination in children Potentially serious complications including carotid artery inju...

27 Okt 20183min

Podcast #396: Oncologic Emergencies

Podcast #396: Oncologic Emergencies

Author: Rachel Brady, MD Educational Pearls: Hypercalcemia of malignancy: Hypercalcemia of malignancy can present with lethargy, muscle weakness, hyperreflexia, altered mental status, cardiac dysrhyt...

24 Okt 20184min

Podcast #395:  Aspirin for everyone!

Podcast #395: Aspirin for everyone!

Author: Aaron Lessen, MD Educational Pearls: In patients without indications for aspirin, three recent studies looked at prevention of several end points in the elderly These showed no benefit in p...

22 Okt 20182min

Podcast #394: Myths of Medication Assisted Treatment

Podcast #394: Myths of Medication Assisted Treatment

Author: Katie Sprinkle, MD Educational Pearls: Medication Assisted Treatment (MAT) is the treatment of addiction with medications, commonly used for opioid use disorders A long held belief is MAT sim...

20 Okt 20185min

Podcast #393: Neonatal Vomiting

Podcast #393: Neonatal Vomiting

Author: Peter Bakes, MD Educational Pearls: Important historical information to elicit is the birth history, feeding habits, stooling habits, associated symptoms, presence of bile, and presence of ...

17 Okt 20185min

Podcast # 392: Maggot Therapy

Podcast # 392: Maggot Therapy

Author: Jared Scott, MD Educational Pearls: Interest started as it was noticed soldiers who had wounds infected with maggots had better outcomes than those without maggots Studies have shown that wou...

15 Okt 20183min

Podcast # 391: Necrotizing Fasciitis

Podcast # 391: Necrotizing Fasciitis

Author: Peter Bakes, MD Educational Pearls: Necrotizing fasciitis is an infection of the deep soft tissues with destruction of the muscle fascia and overlying fat Think of it if pain is out of prop...

12 Okt 20186min

Populært innen Vitenskap

fastlegen
tingenes-tilstand
rekommandert
jss
rss-nysgjerrige-norge
rss-rekommandert
sinnsyn
forskningno
rss-paradigmepodden
villmarksliv
vett-og-vitenskap-med-gaute-einevoll
fjellsportpodden
nordnorsk-historie
smart-forklart
rss-overskuddsliv
diagnose
abid-nadia-skyld-og-skam
aldring-og-helse-podden
pod-britannia
tidlose-historier