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Narcan 4mg IN

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I was a big initial fan of the intranasal atomizers both for pain management and opiate overdoses.  I liked them for pain management for their quick access.  I often gave an intranasal dose, and then after getting an IV, gave the rest IV.  Overtime I noticed quite a difference in response between the two methods. […]

Hear the Drumming

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Another three dead of heroin overdoses in Hartford in the last 16 hours.  The slaughter continues.  Hartford led the state in overdose deaths in 2015 with 56.  The 2016 numbers, which are not complete, are estimated to be in the high 70s.  Already there have been 5 known heroin deaths in 2016.   I recently […]

Neuro EMS

Check out the great post on Neuro EMS: 30 Seconds to Understanding Drug Addiction “EMS is at the forefront of emergency medicine therefore we should be at the forefront of shattering mental health stigma and providing compassionate, non-judgemental care.” Bravo!


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I ask my patients who are addicted to heroin how they got started.  Many tell the same tale.  Injury.  Prescription for Percocet or Oxycontin.  They got addicted.  Prescription either went away or couldn’t keep up with their growing tolerance.  They started buying pills on the street.  Then they learned heroin was cheaper and worked even […]

Who Narcan Saves

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I was at a recent meeting of a statewide opiate overdose working group, composed of a wide variety of community stakeholders all committed to helping curb the crisis, when I heard one woman say our goal should be Narcan in every medicine cabinet. Certainly Narcan should be in the homes of any person with a […]

Merry Christmas, Hartford

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Merry Christmas, Nathan Hale Merry Christmas, Stegosaurus Merry Christmas,  Departed Merry Christmas, Brotherman Merry Christmas, True Hearts Fat Turkeys and presents for all! Stay safe.

Hartford Police to Carry Narcan

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  When I started as a paramedic in Hartford in 1995, only paramedics carried Naloxone.  Today, BLS ambulances carry it as well as our first responding Hartford Fire Department.  A month from now, our Hartford Police Department officers will also carry it.  This is a good thing. Hartford Police Begin Carrying Naloxone As Drug Overdose Deaths […]


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  I used to believe that addiction was a character flaw, and that the drug fiends I treated on the streets of Hartford were there due to their own poor choices.  That doesn’t mean I treated them badly. I have always tried to treat all my patients as if I were treating members of my […]

Bart Simpson Does Heroin

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Bart Simpson is in his parent’s Subaru parked to the side of a gas station in Hartford, Ct near the highway ramps.  The car is running, in drive, his foot is on the brake.  He is slumped forward against the wheel.  This has aroused the attention of passerbys who have called 911.  An ambulance arrives […]

The Opiate Refusal

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The Opiate Refusal Called for ETOH.  On arrival found 28 year old male slumped on park bench, GCS-3, respiratory rate -4, cyanotic around lips.  Does not respond to stimulation.  Given 2 mg Narcan IN by FD just prior to our arrival, ventilated with ambu-bag using two person method.  Initial ETCO2-94.  Sinus at 88.  BP 130/70.  […]

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