hangin' loose
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Posted: 1/15/2023 3:35:30 PM EDT
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cheap. Apparently some places you can get it for free. I would like to get some for my trauma bag. While I have never encountered an OD, I have given CPR and administered basic FA in a few horrific accidents. My hope is to never use it. What direction can some of you EMS people recommend? THANKS @medicmandan, I think I got this right. |
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hangin' loose
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Originally Posted By medicmandan: https://mcrsp.org/get-help/where-to-get-narcannaloxone.html Thank you, I put in a request and showed my credentials that are online. Thanks for the link. |
To the person who bought my membership, Thank you.
hangin' loose
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| Thing is if they OD on xylazine/tranq it doesn't seem to work. |
"A dying culture invariably exhibits personal rudeness. Bad manners. Lack of consideration for others in minor matters. A loss of politeness, of gentle manners, is more significant than is a riot."
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Robert A. Heinlein, Friday
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Originally Posted By dustymathes: Maybe just let the druggy OD Sometimes it’s an older person or someone who didn’t fully understand the prescription and how much of a prescribed opiate such as OxyContin to take. It’s expensive but if you go to your local EMS post and explain what you want and why they may have some they can give you. |
| Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk |
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Originally Posted By Kskvetski: Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ |
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Originally Posted By yodude: cheap. Apparently some places you can get it for free. I would like to get some for my trauma bag. While I have never encountered an OD, I have given CPR and administered basic FA in a few horrific accidents. My hope is to never use it. What direction can some of you EMS people recommend? THANKS @medicmandan, I think I got this right. Ga DPH has a standing letter of authorization for EMS. I just show my ID & insurance card (for pricing) and get it for $15 at any pharmacy. Originally Posted By medicmandan: The kits I get from the hospital are injectable. I would prefer intranasal but that's what they give us. I keep two in the office emergency bag with our AED and tourniquets. Intranasal here. |
I like cars.
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May be relevant. https://www.hmpgloballearningnetwork.com/site/emsworld/pharmacology-101-naloxone-associated-pulmonary-edema |
I like cars.
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Originally Posted By Z09SS: When they filled my wife's Oxy/Apap 5/325 scrip they gave us a dose of narcan to go with it, free of charge. Depends on what and where, I guess. interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. |
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Originally Posted By ElliotAbrahms: interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. Originally Posted By ElliotAbrahms: Originally Posted By Z09SS: When they filled my wife's Oxy/Apap 5/325 scrip they gave us a dose of narcan to go with it, free of charge. Depends on what and where, I guess. interesting. you’d die from the tylenol well before you got enough opiates in you with that dosage. that shit will shut down your liver, quick. She figured that liver damage would hit her long before she'd need narcan. She's about recovered from the shoulder replacement now, and we still have that dose of narcan. |
Vintage Ain't Retro.
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Yup. Naloxone ain’t chicken soup. It definitely has its place in the treatment of opioid overdose or diagnostically for unconsciousness of unknown etiology but there needs to be either a viable index of suspicion or clinical signs before we just start squirting repeated doses in noses. |
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| Depends on state, UT here, but you can very often find MFG websites or programs that will send you a free 2-pack of 4mg nasal sprays. I received a Narcan brand 2-pack free, and like was mentioned above, if you live in UT, you can go to any public library and they give you a vial and syringe no questions asked, 1 per person, per day. |
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Originally Posted By medicmandan: Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ Originally Posted By medicmandan: Originally Posted By Kskvetski: Maybe it’s someone who accidentally was dosed with fentanyl there, my man. Real tough talk Been a few stories recently of cops overdosing during arrests and needing narcan. ETA: https://www.kktv.com/2022/12/15/graphic-police-help-save-officer-fentanyl-overdose-during-traffic-stop/ These are generally just anxiety attacks and/or a form a conversion disorder. The media reports you hear of law enforcement OD on fentanyl generally describe symptoms that are opposite of opioid overdoses. Also, I've yet to here of any these cases being confirmed with a UDS or serum studies. |
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Originally Posted By Nate19: Find your way back to GD, troll. Originally Posted By Nate19: Originally Posted By dustymathes: Maybe just let the druggy OD Find your way back to GD, troll. It's a sentiment that won't be aired publicly but you'll hear from time to time in the break room at the ER or bullshitting with full time medics. We spend a lot of time taking care of people who dgaf about their own lives and it gets old. Yes it's valuable to have for the 3yo who gets into grandma's "stickers" (fentanyl patches), but when you get sprayed with HIV+ blood as the druggie rips out his ivs and starts swinging on everyone he sees after being narcan'ed for the 3rd time in 2 days you can understand the frustration that leads some to begin to question the easy access we provide. Not saying it's right, but I get how they get there and dismissing it as trolling is perhaps valid, but also perhaps not fully appreciating reality. |
“The desire for safety stands against every great and noble enterprise.” Tacitus
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Originally Posted By StillGonnaSendIt: Sometimes it’s an older person or someone who didn’t fully understand the prescription and how much of a prescribed opiate such as OxyContin to take. It’s expensive but if you go to your local EMS post and explain what you want and why they may have some they can give you. Sounds as common as the Democrats saying gramma is down to eating cat food. |
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In some states it’s free. In UT you can walk into any public library and get a narcan kit. 1 per day which includes a vial and syringes. They used to do the 4mg nasal sprays but it was to expensive. Most insurance will also cover narcan nasal spray for free so check at the pharmacy since most pharmacists can dispense it at their discretion without a prescription. Rmsearch “Utah free naloxone” in google and reach out to the site. Even if in another state the program might just send it to you |
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Originally Posted By dustymathes: Maybe just let the druggy OD I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. |
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Originally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. |
Post contains personal opinion only and does represent information released in official capacity.
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Originally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. Narcan is only an opiate antagonist. It has no other uses. |
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Originally Posted By medicmandan: Narcan is only an opiate antagonist. It has no other uses. Originally Posted By medicmandan: Originally Posted By backbencher: I had that opinion, but my stepdaughter's boyfriend is a Paramedic. He pointed out he doesn't know why his patient is unconscious - might be drugs, could be another medical condition that may respond to Narcan. He's there to save lives, not pass judgement. Frustrating, but modern medical technology often outstrips ethics. Narcan is only an opiate antagonist. It has no other uses. Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? |
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Originally Posted By medicmandan: Over medicated or sedated in a clinical setting. Overdose is not always illicit. Originally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? |
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Originally Posted By backbencher: Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Originally Posted By backbencher: Originally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. |
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Originally Posted By King_Mud: Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. Originally Posted By King_Mud: Originally Posted By backbencher: Originally Posted By medicmandan: Originally Posted By backbencher: Interesting. In what other situations might you find a non-druggie w/ which Narcan would work? Opiate attempted suicide? Over medicated or sedated in a clinical setting. Overdose is not always illicit. Over medicated in a clinical setting, or just over medicated? Ie, Momma's passed out & I can't wake her up? Old people double/triple their pills sometimes, kid eats mom’s pain pills, etc. Ok, so we can't ethically pull Narcan from the ambulance service. |
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We get it free from county health department. I carry it in my daily carry (backpack) along with IFAK. For me, it's not really about addicts ODing so much as innocent people being exposed. Just like a few other things, I carry it around with the hope I never need to use it. |
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Originally Posted By medicmandan: Uh, why would we want to do that? Originally Posted By medicmandan: Originally Posted By backbencher: Ok, so we can't ethically pull Narcan from the ambulance service. Uh, why would we want to do that? To reduce the number of overdoses. |
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They hand it out for free here in PA Last handout was May at public park that I know of they advertise it on the radio stations. I don't borher with the fred handouts for the simple reason we don't know anyone that uses drugs. I will say that scranton/dunmore get a bad batch of fent laced drugs about once a month that you can hear on the scanner the cops,tossing OD victims into the backs of patrol cars to the ER due to running out of ambulances. If it' that bad in tiny dem run little shithole scranton I can only guess it's exponetionally worse in bigger dem run cities. |
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Originally Posted By medicmandan: That does not reduce the number of overdoses, that increases the number of deaths. Originally Posted By medicmandan: Originally Posted By backbencher: To reduce the number of overdoses. That does not reduce the number of overdoses, that increases the number of deaths. A junkie that's dead can't OD again.  But given other lives are at risk, unethical to limit the use of Narcan, despite the savings to the taxpayer. |
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Originally Posted By keeperofthedew: It's a sentiment that won't be aired publicly but you'll hear from time to time in the break room at the ER or bullshitting with full time medics. We spend a lot of time taking care of people who dgaf about their own lives and it gets old. Yes it's valuable to have for the 3yo who gets into grandma's "stickers" (fentanyl patches), but when you get sprayed with HIV+ blood as the druggie rips out his ivs and starts swinging on everyone he sees after being narcan'ed for the 3rd time in 2 days you can understand the frustration that leads some to begin to question the easy access we provide. Not saying it's right, but I get how they get there and dismissing it as trolling is perhaps valid, but also perhaps not fully appreciating reality. I don't see any problem with keeping naloxone around to save a loved one, someone you care about, a neighbor's kid, etc. I can understand the desire to be a good citizen and help people, it kind of goes along with the whole "be a helper" mentality. There are risks though with squirting a person you don't know, having to deal with a pissed off person being one of them. Calculate the risk. |
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I know this is an older thread. I went into the fire station and asked for some and was handed a box of two sprays of it. I was told by a station chief in his office duty time to go to *any* fire station and ask. They will hand you a couple. Now state to state this may vary. But in Washington state we’re full up with druggies in King and Snohomish county. |
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