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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. For a patient with suspected opioid overdose who has a definite pulse but no normal breathing or only gasping (ie, a respiratory arrest), in addition to providing standard BLS and/or ALS care, it is reasonable for responders to administer naloxone.

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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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The Widely Varying Role of the Advanced EMT in Modern EMS

JEMS

His agency has three levels of gear when appropriate, for instance there is an ALS, BLS, and AEMT drug bag in each ambulance, but there is, of course, a great deal of cross over and this is simply not necessary for most of the equipment. In the EMD (emergency medical dispatch) world, they often count as BLS.” It’s pretty simple, right?

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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.

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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? Do heroin overdose patients require observation after receiving naloxone? Opioids depress the heart rate and breathing and overdoses can result in death. The second new recommendation was about opioid overdose treatment. Clinical Toxicology 2017.

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ALS and BLS Medical Care: Which should I have at my event?

Paramedics Unlimited

What is the difference between ALS and BLS Medical Care? In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding. Paramedics provide pain management treatment in the field.

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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.