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Clinical dive: Should you consider naloxone during OHCA response?

A new study highlights the benefits of the drug to treat opioid-related OHCAs

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This week on Inside EMS, our cohosts discuss a recent study out of UC Davis Health that highlights the benefits of using naloxone in opioid-associated out-of-hospital cardiac arrest response. Chris and Kelly discuss the results and debate how this knowledge could impact OHCA protocols.

Top takeaways: 鈥業t鈥檚 going to change my practice鈥

  • 鈥淚f you look at the 鈥 survival of hospital discharge, the number needed to treat was 26. So 1 in 26 patients you would do this to has a chance of surviving the hospital discharge. That鈥檚 pretty compelling. It鈥檚 going to change my practice.鈥 鈥 Kelly Grayson
  • 鈥淚t鈥檚 obviously needed information considering how bad the opioid overdose epidemic is in the United States. The numbers are compelling 鈥 the fact that this affects so many of our out-of-hospital cardiac arrests and that this actually shows pretty strong evidence of improved outcome.鈥 鈥 Kelly Grayson
  • 鈥淲e think about over the past 20 years, and now with fentanyl being part of that process, we鈥檙e starting to see a lot more [drug-related cardiac arrests] and there鈥檚 an urgent need for this evidence that allows us to now figure out if Narcan can make a difference in OHCAs.鈥 鈥 Chris Cebollero

Explore the forefront of EMS leadership with Rob Lawrence on the 鈥淓MS One-Stop鈥 Podcast. Tackling critical issues like staffing, service delivery and operational challenges, each episode delves into the latest in patient care enhancement, EMS technology advancements; and emerging trends.

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The Inside EMS podcast is a regular expert discussion of hot topics, clinical issues, operational and leadership lessons for EMTs, paramedics and chiefs