I don't think STL fire can. They JUST got IN Narcan this past week and I am looking at it now and it says 4mg/0.1mL. If they are really pushing 0.1mL then they don't have much to work with.Those are awkward. I don't believe it is necessary to re-medicate, but I do think that refusals should be very, very careful. Ideally, the patient is not resuscitated to the point that they can say no, but I understand that you didn't have any control over this, and it's hard for Fire to make judicious administrations, especially nasally.