My question to you is how freely do you use naloxone in the treatment of patients with an acute presentation of ALOC? Mainly in a scenario where you can't rule in or rule out narcotics as the cause. I ask because I have always been one to use naloxone only if they are altered with - known narcotic use, respiratory depression, or significant papillary findings. The new partner I am working with likes to use it on every patient who is altered with unknown etiology. Thoughts?