Medscape Naloxone

Physicians most trusted site ‘Medscape’ Naloxone for the Reversal of Opioid Adverse Effects  You may need a Physicians license etc. to login see below photos http://www.medscape.com/viewarticle/441915_4   Quote “All patients considered to have opioid intoxication should have a stable airway and adequate ventilation established before the administration of naloxone.” Reason stabilize the patient first with rescue breathing. As in all breathing emergencies patient is dying lack of oxygen in blood stream, rescue breathing ASAP their life depends on this.

My moderated comment second slide

Live human study [only in Ontario] training layperson’s all the signs of opioid overdose, then telling them to give chest compression’s only http://journal.cpha.ca/index.php/cjph/article/view/3788

My moderated comment 2015 AHA & ILCOR guidelines poisoning & drug OD  ‘Opioid overdose response education’ plus Public Health’s training literature.

My response to Emily Oliver (awaiting AHA moderator) “….use of naloxone into their education programs. More research is needed regarding educational effectiveness…”

Do we need more research on opioid poisoning resuscitation protocols? Clinicians see opioid poisoning daily in a clinical situation. Terminally ill are kept “comfortable” to wit OD narcotics. Cause of death acute respiratory failure.

European Resuscitation Council Guidelines for Resuscitation 2010 Section 8.b Poisoning http://resuscitation-guidelines.articleinmotion.com/article/S0300-9572(10)00441-7/aim/

Naloxone left elsewhere http://www.harmreductionjournal.com/content/6/1/26
Quote “most participants did not carry the naloxone with them consistently and consequently it was generally not available if they witnessed an overdose.”
Other studies report same >20%  of the time Naloxone left elsewhere. Probably means chest compression’s only used in Ontario?

medscape-naloxone

My moderated comment

medscape-response

234 Doctors, other health care professionals and myself signed a letter to Ontario’s Premier Wynne and Minister of Health Dr. Eric Hoskins about Ontario’s life threatening resuscitation intervention.  Read meaningless response from Premier attached
Majority of harm is happening to non OD’s and no one says a word? Chest compression’s for any breathing emergency is assault and murder.

My letter Emergency Medicine News 2015; 37(12):31 ‘Flaws in Toronto’s Opioid Overdose Prevention Program’ Hyperlinks to Public Health’s training literature here.

70++ references from 2015 AHA & ILCOR guidelines on opioid overdose and comments
All state rescue breathing ASAP.

My deputation Toronto Board of Health https://youtu.be/QhsDjmI9H9c

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