Archive for December2017

Angry Snowman: Naloxone Refusals

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An older man with a cell phone meets us at the door to the apartment lobby. His hands shake. He motions for us to follow toward the stairs. “What’s going on?” I ask. “I just went out for ten minutes and I came back and found him.” “Is he breathing?” I ask. But he does […]

Chest Wall Rigidity

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You are called for a seizure in the men’s room at McDonald’s. You arrive to find an approximately thirty-year old man stiff and purple, gurgling. “Versed?” Your paramedic student says as you break out an ambu-bag. “Check his pupils.” “Pinpoint.” You hand him Naloxone. “Give him 1.2 IM,” you say. He looks at you like […]

Naloxone in Cardiac Arrest

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  Case # 1 You find the fifty year old man supine on the floor with the fire department doing CPR. Their AED announces, “No shock advised. Continue CPR.” You set your monitor by the man’s head and connect the fire department’s pads to your monitor, while your paramedic student quickly places an IO in […]

Surviving Post Naloxone

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You find the patient – a young man – in respiratory arrest in a Honda with tinted windows behind a service station.  His head is back, his mouth is open, and he is deeply cyanotic.  His skin is warm and despite having no respirations, he has a pounding carotid pulse.  On the floor board you […]