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International Prehospital Medicine Institute Literature Review, July 2025

JEMS

This suburban, combined ALS and BLS EMS system responds to greater than 120,000 combined requests for service a year. Of the groups with positive findings, Sp02 increased on average from 89.6% Individual agencies are dispatched via a common communications center using commercially available Emergency Medical Dispatch software.

E-9-1-1 98
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Opioid Overdose Categorization

Peter Canning

If they’re lethargic and hard to arouse, but still breathing effectively, it’s not an overdose. Boston paramedic This is a quote I included in a presentation I put together for the state of Connecticut back in 2014 when we designed a curriculum to teach BLS providers how to use naloxone. Fatal overdoses are easy to track.

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America. Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Editorial Comment: Naloxone first, flumazenil only for pure benzo’s (e.g., COR No Benefit, LOE C-EO. COR Harm, LOE B-R.

Naloxone 106
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SGEM#179: Chase the Dragon and Naloxone

The Skeptics' Guide to EM

Do heroin overdose patients require observation after receiving naloxone? He is also the host of EMToxCast and gave a talk at the Association of Academic Chairs of Emergency Medicine Annual Retreat […] The post SGEM#179: Chase the Dragon and Naloxone first appeared on The Skeptics Guide to Emergency Medicine.

Naloxone 130
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Rock Bottom

Peter Canning

We’re dispatched to an overdose on Ashley Street. I am in the fly car and a BLS crew is in the ambulance. I don’t see anyone on two passes, but then I hear the BLS unit radio they’ve found him. I have done many overdoses like this one of homeless people who were in fact down alleys and behind dumpsters.