This is why you only give enough narcan to get them to breathe.
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unleashedfury
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never had a OD go violent on me after waking up with Narcan. a few puked,
OTOH the Bath Salts craze was huge around here. some of those guys/gals had super human strength and all the benzos in the world wouldn't put them down.
OTOH the Bath Salts craze was huge around here. some of those guys/gals had super human strength and all the benzos in the world wouldn't put them down.
NomadicMedic
I know a guy who knows a guy.
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Seconded. Opiate ODs never go Full Goose Loco on me. Occasionally they want to fight, but usually they're just apologetic for wasting my time and ticked that I killed their high with Narcan.
Now, the bath salts guys behaved like lunatics. As did the guys who smoked sherm when I was back in Washington. Those folks were loony.
Now, the bath salts guys behaved like lunatics. As did the guys who smoked sherm when I was back in Washington. Those folks were loony.
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This is why you a) get a good assessment and history if possible, and b) wake up gradually and oxygenate prior to awakening. I deal with a ton of opiate overdoses. Only one has ever flipped :censored::censored::censored::censored: on me after waking them up- I was brand new and unfamiliar with speedballing.
unleashedfury
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I had one when I was doing my Field Clinical that took a pretty potent amount of Heroin he got the total 2mg from us prehospital, and didn't finally come to until the doc in the ED gave another 4mg. A total of 6mg he wasn't violent he woke up and said what happened??? Turned out he also had a severe respiratory infection that got him admitted.
My most recent one wasn't unresponsive when we got to him we were actually called for a laceration to his right calf. he was obviously altered stated he was taking methadone to break his habit. that's why he was acting as he was. I bit on it. The Police met us at the hospital to say they found paraphernalia and heroin at his residence. and that the State police had a warrant. by this time he was pretty much out of it. while he was down the ER doc sutured him up. the State Police Cuffed him and he got his narcan. Woke up and he said "hey Why are all these cops here?" my preceptor said look down at your hands. That's when he flipped when he realized he was under arrest.
NomadicMedic
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Yeah, I'd say the cop spooled things up a bit. I also love the fire medics. "We told him if he's gonna be a jerk to just get out."
?
Really. Here's some Narcan. Now, get out of the truck.
?
Really. Here's some Narcan. Now, get out of the truck.
the_negro_puppy
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lol that show is so corny.
Seriously though I love it how its just drag and narcan.
Why U no oxygenate / ventilate first?
Seriously though I love it how its just drag and narcan.
Why U no oxygenate / ventilate first?
Christopher
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I hate when folks aggravate my patients.
Fire Chiefs are likely to back you up on this sorta thing.
We're doing a lot more treat and release heroin OD's these days.
He made it X minutes without breathing...what's another 3-4 going to hurt?! amirite? (They could have at least thrown a mask on him...)
AeroClinician
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Really?
That's rather careless seeing how narcan has a shorter half life than opiates, especially in amounts to cause an OD.
I am disappointed in those firemedics.
You know better than that, really? If they were apenic for 3-4 prior to contact, you don't think that an additional 1-2 mins could be enough difference to result in cardiac arrest?
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We've been doing treat and release on heroine ODs for years, now. Haven't had any problems with it. Wake 'em up, make sure there's no issues once they're awake, then give them an IM dose before we leave.
Christopher
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Treat and release naloxone is safe...we've known this since the late 90's.
Sarcasm...not for everybody I guess.
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Too many of these running around in Texas.
If it helps at all, I'm not proud of myself.
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Too many of these running around in Texas.
If it helps at all, I'm not proud of myself.
Touché.... I just got done playing basketball and was slightly hypoxic... That's the excuse I'm sticking with... :lol:
AeroClinician
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Ok, sounds like the MDs in that area are willing to accept that risk.:huh: Because no MDs around FL that I am aware of, are willing to do that at all. :unsure:
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Sherm showed it's ugly face here the other day. I'm not excited for it to become popular. They're also worried about Krokodil showing up here soon.
Never had a violent wake up, never had someone puke either. IV and 0.2 increments make it happen smoothly and safely. I can bag someone all day long with my vent (basically a demand valve with TV/RR settings) and a BVM mask, some suction and a BLS adjunct.
samiam
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Had a 65-70 is lady who decided to do some heroin with her daughter both got emsed to the er nice big dose of narcan for some reason was not wearing any under wear. This 65 year old lady came to looked at the two nurses and me. simultaneously squirted (yes she lifted up and aimed) excessive amounts of diarrhea at the two poor nurses at the foot of the bed and screamed :censored::censored::censored::censored: you! Promptly passed back out 10 points for being at the head of the bed!