Case(s) of the month - "18 y/o Respiratory Arrest", "34 y/o Allergic Reaction", "65 y/o Generalized Weakness"
Opiate drugs vary in strength, which may affect Narcan dosing
Some extended-release opiates have long half-lives, which may require Narcan re-dosing
Some prescription opiates are combined with other medications (e.g., acetaminophen) which may require additional treatment in overdose
All of the above
Narcan is only available to ALS providers, with IV administration being the preferred route
All levels of EMS (EMR, EMT, AEMT, Intermediate, and Paramedic) as well as trained law enforcement officers may administer Narcan by IM and IN routes
Lay persons (drug users, friends, and family) can legally be prescribed Narcan and may be trained to use it prior to EMS arrival
Both B & C
None
Known history of cardiac disease
Tachycardia > 100 on initial assessment
Age < 8 y/o
Supplemental oxygen with NRB
IV fluid bolus trial only
Recommend IM Epinephrine explaining to patient her blood pressure is concerning and she could further deteriorate
Monitor and transport without intervention
Older patients (> 65 y/o)
Otherwise healthy school-aged children
Hx of pulmonary disease (e.g., COPD, asthma)
Young children (< 2 y/o)