Emergency Medical Minute24 Maj 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

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