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Mobile Integrated Health Significantly Reduces Opioid-Related Deaths

JEMS

One ambulance district’s Mobile Integrated Health (MIH) Division has recently made a big impact in reducing opioid-related overdose deaths in their community by increasing harm-reduction products and therapies. 1 Lincoln County Ambulance District responded to 166 opioid overdose calls in 2022 and 107 opioid overdose calls in 2023.

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Medetomidine Overdose: Why More Naloxone Is Not the Answer—But Timely Respiratory Support Is

JEMS

When combined with fentanyl, it can cause profound sedation, respiratory depression, and hemodynamic compromise—and naloxone doesn’t reverse it. For EMTs and paramedics, this growing trend requires a shift in how we recognize and respond to overdose syndromes. What Is Medetomidine? Where Is It Showing Up?

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Unraveling Myths in Mobile Medicine, Part 2: My Interview with Judy Faulkner

JEMS

15 min read Mobile Integrated Health and Community Paramedicine News News Feed Community Paramedic Headlines News Feed Oregon Medetomidine Overdose: Why More Naloxone Is Not the Answer—But Timely Respiratory Support Is A new nonopioid sedative, medetomidine, is rapidly becoming the next adulterant of concern in illicit drug supply.

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Recerts and New Protocols

Peter Canning

Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 Paramedics may administer buprenorphine to patient in precipitated withdrawal following naloxone resuscitation provided the patient meets required criteria and agrees to hospital transport.* AEMTs may administer epinephrine IV in cardiac arrest.*

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