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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Alternatively, one can cut the 2 mg Suboxone (buprenorphine + naloxone combination) strips into 4 pieces after waiting for a longer washout period (72-96 hours of abstinence from non-medical opioids) before starting the induction. Or one can start methadone induction. Journal of general internal medicine. 2017 Jun;32:660-6.

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The Future of Autonomous EMS Delivery Systems

JEMS

These unmanned aerial vehicles can rapidly deliver automated external defibrillators (AEDs), naloxone, epinephrine, and other critical supplies to the scene of an emergency, often faster than traditional ambulances. Technological Advancements in Autonomous EMS One of the most significant developments in autonomous EMS is using drones.

EMS
professionals

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Protocol Change

Peter Canning

Naloxone was given for coma of unknown etiology; sodium bicarb for cardiac arrests of unknown downtime. We carried Cardizem for rapid a-fib, fentanyl for pain, intranasal naloxone, and Haldol and midazolam for violent emotionally disturbed patients. People in pulmonary edema got Lasix. Six PVCs in a minute and you got lidocaine.

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No, I Say

Peter Canning

“We need a lot more naloxone than ever before. The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. Naloxone works against opioids if it is given in time. When someone gets 20 milligrams, I ask what form was the naloxone in and how long was there in between doses?

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Toxin-Induced Hypotension Treatment Tips

ACEP Now

Treatment should include a combination of sodium bicarbonate and naloxone. It also has opioid receptor agonism. 8 Thus, patients will present with hypotension and respiratory depression with QRS widening. 8 Alpha-2 agonists such as xylazine and clonidine also have the potential for abuse.

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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? Laboratory Data CBC : Hgb 2.74 (compared to baseline of 9.0); WBC count 17.39 BMP : Na 126; K+ 5.9; up from 0.69) ESR : >100 CRP : 15.94 However, fentanyl is the most common drug combined with xylazine.

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Preventative Care Strategies for Healthier Communities

ESO

The 2024 ESO EMS Index reveals that 82% of patients with suspected opioid overdoses received naloxone, a medication that can reverse opioid effects. A pproximately 65% of these p atients were male , with 63% documented as White non-Hispanic followed by 24% as Black or African American and non-Hispanic. So, w hat can your agency do?

CPR