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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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Previously on Inside EMS:
This special episode of Inside EMS explores the shift from reactive to preventative strategies in emergency services and the crucial role of technology and health initiatives

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit鈥.

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