I've never seen a legit opiate od where they started gagging. I have however seen a fake one sit right up on the opa attempt.
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OPA, assist ventilations with a bvm for 2 minutes, narcan, continue assisting w/bvm until he wakes up... Simple BLS call.
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LOL @ "Urging the pt to calm down did not bear fruit."
I don't think telling someone to calm down ever works but it's always funny seeing people trying it.