Novel Vagal Maneuver

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I never had great luck with vagal maneuvers.  Admittedly when I was a new medic, I didn’t particularly want them to work.  I wanted to give Adenosine, and watch the strip suddenly go asystole and then some wild funky beats before correcting to a nice sinus tack in the 120’s, way better than the 200’s […]

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!

Snowbank

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It is six in the morning and we get called for an overdose outside.  The address is not a surprise — a side street off Park.  Yet when we arrive, we find no one.  We are about to clear when a police officer who has also responded finds a backpack in the snow and sure […]

Happy

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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.

OxyContin Worldwide

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As the opiate epidemic fueled by the overprescription of Oxycontin and the false claims of its safety is devastating our country, the Los Angeles Times is reporting the drug companies are now aggressively marketing the controversial painkiller overseas, using the same tactics they employed in this country. OxyContin goes global — “We’re only just getting started” Read the entire […]

50,000 Dead-2015 CDC Overdose Report

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52,404 Americans died of preventable drug overdoses in 2015, an 11% increase over 2015 according to a report released December 16, 2016 by the Centers for Disease Control. The death rate from synthetic opiates rose a chilling 73%. Overdose deaths now far outstrip car crash fatalities (37,757) and gun deaths (36,252). Increases in Drug and Opioid-Involved […]

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