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All that Narcan they have been handing out has found a useful purpose Login/Join 
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The downside is, it can turn a sedated person into a raging monster the moment he comes off his high. I have seen it many times in my career and you should always be prudent when doing it.
 
Posts: 7833 | Location: Treasure Coast,Fl. | Registered: July 04, 2003Reply With QuoteReport This Post
You're going to feel
a little pressure...
posted Hide Post
quote:
Originally posted by FenderBender:
https://www.drugs.com/monograp...e-hydrochloride.html

quote:
Precipitation of Severe Opioid Withdrawal
May precipitate severe opioid withdrawal symptoms. Abrupt postoperative reversal of opioid effects may result in nausea, vomiting, sweating, tremor, tachycardia, hypotension, hypertension, seizures, ventricular tachycardia/ fibrillation, pulmonary edema, and cardiac arrest, which may result in death.

Administer with caution to patients known or suspected to be physically dependent on opioids (including neonates born to women who are opioid dependent), particularly in patients with cardiovascular disease. (See Use in Patients with Cardiovascular Disorders under Cautions.)


If someone is dying and you kill them attempting to save their life...?
This is why I don't save strangers unless I'm on the payroll.

Bruce






"The designer of the gun had clearly not been instructed to beat about the bush. 'Make it evil,' he'd been told. 'Make it totally clear that this gun has a right end and a wrong end. Make it totally clear to anyone standing at the wrong end that things are going badly for them. If that means sticking all sort of spikes and prongs and blackened bits all over it then so be it. This is not a gun for hanging over the fireplace or sticking in the umbrella stand, it is a gun for going out and making people miserable with." -Douglas Adams

“It is just as difficult and dangerous to try to free a people that wants to remain servile as it is to try to enslave a people that wants to remain free."
-Niccolo Machiavelli

The trouble with fighting for human freedom is that one spends most of one's time defending scoundrels. For it is against scoundrels that oppressive laws are first aimed, and oppression must be stopped at the beginning if it is to be stopped at all. -Mencken
 
Posts: 4285 | Location: Sin City | Registered: October 06, 2011Reply With QuoteReport This Post
Objectively Reasonable
Picture of DennisM
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The actual BLS protocol here is "Give naloxone (if available) if decreased respiratory rate and suspected narcotic overdose. Goal = adequate respiration and oxygenation (not awakened patient)." Conventional wisdom is, and has been, that if you're incorrect about the "overdose" part, IN Narcan won't harm. It won't HELP, but it won't hurt.

Here in the shallow end of the EMS pool, it's intranasal 2mg or 4mg or nothing. Slamming the protocol-indicated dose by the protocol-mandated route makes for a rather ugly wake up call, often including vomiting and swinging fists. Fortunately the paramagicians have expanded adminstration routes (IV) and can titrate for effect. Also fortunately, overdoses are usually dispatched as ALS (e.g. Medic) calls, so I generally get to avoid being vomited on or punched.
 
Posts: 2727 | Registered: January 01, 2004Reply With QuoteReport This Post
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quote:
Originally posted by architect:
So the guy potentially saving a junkie's life goes to jail and is sued into bankruptcy, to enable the junkie to go on destroying his life, and the lives of those family members and other associates?

Not seeing the logic here.


Well, first you need to understand the logic of a city that allows open air drug markets, and gives out free medicine to stop illegal drug overdoses. Wink


______________________________________________________________________
"When its time to shoot, shoot. Dont talk!"

“What the government is good at is collecting taxes, taking away your freedoms and killing people. It’s not good at much else.” —Author Tom Clancy
 
Posts: 9704 | Location: Attempting to keep the noise down around Midway Airport | Registered: February 14, 2008Reply With QuoteReport This Post
I have not yet begun
to procrastinate
posted Hide Post
quote:
Originally posted by FenderBender:
https://www.drugs.com/monograp...e-hydrochloride.html
quote:
Precipitation of Severe Opioid Withdrawal
May precipitate severe opioid withdrawal symptoms. Abrupt postoperative reversal of opioid effects may result in nausea, vomiting, sweating, tremor, tachycardia, hypotension, hypertension, seizures, ventricular tachycardia/ fibrillation, pulmonary edema, and cardiac arrest, which may result in death.
Administer with caution to patients known or suspected to be physically dependent on opioids (including neonates born to women who are opioid dependent), particularly in patients with cardiovascular disease. (See Use in Patients with Cardiovascular Disorders under Cautions.)

This is used in hospital, in a postoperative setting.
They are trying to save a patient from crashing to prevent their death. All the warnings shown here are something to watch for IN THE HOSPITAL, where all post-op patients will be.

I’ve given out at least 100 doses of narcan. It kills someone’s high for a short time…gee that’s too bad.
At least they’re breathing now.
The OP’s post about giving it to junkies to get them the fuck out of your orbit is just freaking funny. The result of living in Bizzaro World.


--------
After the game, the King and the pawn go into the same box.
 
Posts: 4445 | Location: Central AZ | Registered: October 26, 2006Reply With QuoteReport This Post
The Ice Cream Man
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So…. What we need is pressurized paintballs filled with the stuff to encourage junkies to go elsewhere?
 
Posts: 6848 | Location: Republic of Ice Cream, Low Country, SC. | Registered: May 24, 2007Reply With QuoteReport This Post
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When my employer was issuing Narcan, I refused to accept it. My position was I was enforcement, not medical. I retired before it became an issue.
 
Posts: 17654 | Location: Lexington, KY | Registered: October 15, 2006Reply With QuoteReport This Post
Jack of All Trades,
Master of Nothing
Picture of 2000Z-71
posted Hide Post
Bad decisions have consequences, pass out in the wrong neighborhood and have a rude awakening. I don't blame the residents at all.




My daughter can deflate your daughter's soccer ball.
 
Posts: 12313 | Location: Eagle River, AK | Registered: September 12, 2006Reply With QuoteReport This Post
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