Author Archives: medicscribe

Connecticut Overdose Death Numbers

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The opioid overdose epidemic continues to rage in Connecticut, although numbers again show the carnage may be plateauing. The Connecticut Medical Examiner’s Office just released the overdose death numbers for the first six months of 2018. Connecticut Medical Examiner’s Statistics  515 people died in contrast to 500 and 538 in the two previous six month […]

A Walk in the Park

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  A walk in the park to stretch the legs while on post. The medic walks past a row of port o-potties from a weekend event. One port-o-potty is not fully closed.  A sneaker blocks the door door. On second glance the sneaker is attached to a foot. Open the door and an unresponsive man […]

The Opioid Chapters

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Check out this web site to read about eleven people affected by the opioid crisis, including a paramedic who injured his back on the job. The Opioid Chapters

Water

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The next drug to add to the EMS formulary should be water. That’s right. H20. How many times have you been on a call and the patient has asked for water only to be told by every EMS responder in the room, “No! You can’t drink anything!” Really? The reason we don’t let people drink […]

Fentanyl: The Real Deal

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Misinformation and inconsistent recommendations  regarding fentanyl have resulted in confusion in the first responder community. – Fentanyl Safety Recommendations for First Responders (Revised) from the Office of National Drug Control Policy. It seems every week responders are getting exposed to Fentanyl, being rushed to the hospital, with many getting Narcan, all often without exhibiting any symptoms […]

Safe Injection Sites

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I wrote an op-ed this month that was published by the Hartford Courant. Insight: I See What Heroin Does. Let People Shoot Up Safely Included was a checklist: 5 Things to Know About Heroin Addiction I read an article a few days later that said that when called an “overdose prevention site,” as opposed to […]

Epinephrine in Cardiac Arrest

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The use of epinephrine in prehospital cardiac arrest showed no difference versus placebo in determining favorable neurological outcome according to a long awaited randomized controlled study published yesterday (July 18, 2018) in the New England Medical Journal. The trial showed epinephrine produced a higher rate of survival at 30 days than placebo, but that was […]

Veins

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Kelly is as dispirited as I have seen her. “My veins are shot,” she says. “I can’t even get high.” IV users use 1 cc syringes which have a very small needle they only need to slip inside the vein. When they pull back and get blood they know they are in. They push the […]

Pulmonary Edema in Opioid Overdose

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She finds him in the bathroom at seven in the morning and knows immediately he is using heroin again. Three weeks ago, they moved east from Seattle. She had a job offer and it also represented a chance to get him away from his junky friends. After three times in rehab, she didn’t think she […]

Slipping Out

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The man is trembling, sitting on the bed in the spare motel room down by the highway. Sometimes, these rooms are filled with the patient’s worldly belongings, but this room seems to only have the bed, a dresser, a chair and the TV. The man is in his late fifties, a portly man with white […]

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