Comments on: "That Narcan Shit"

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By: tracy

tracy — Fri, 02 Jan 2009 18:30:00 +0000

Excellent. Sooo reminds me of that wonderful scene in “Bringing Out the Dead”…Narcan Resserection. i l o v e that scene. Available on You Tube…i think it’s still there. Thanks so much, Paramedic Peter!

By: Tom B

Tom B — Sat, 20 Dec 2008 16:48:00 +0000

“Just because they woke up after you gave them narcan doesn’t mean they woke up because you gave them narcan.”Exactly. I have a good friend (an excellent paramedic) who swears he brought a patient out of asystole with Narcan! I said to him, “If you do a rain dance, and it rains, did the rain dance make it rain?” He didn’t like that! Word verification = “pronall”

By: seaneddy

seaneddy — Fri, 19 Dec 2008 06:58:00 +0000

Great article. In the system where I work, our protocols still allow Narcan to be used as a diagnostic tool. When I was in my internship, my preceptor always stressed the dangers of "slamming" Narcan, so I never developed the habit of doing it.People seem to think that Narcan is benign and can be given like candy. This obviously proves to be wrong, as it can cause severe withdraws and pulmonary edema. Some systems are even allowing EMT-Basics to administer Narcan pre-loads for suspected narcotic over-doses, or even ALOC. I disagree with this, being that EMT-Basics can manage an opiate OD by artificial ventilation until arrival at the ED or until ALS backup arrives. They cannot however, manage pulmonary edema in the event of an adverse reaction. I think you are right on the money with your treatments. .4mg to start on patients with a compromised respiratory drive is more than enough. And you are definitely correct on leaving them alone if their only symptom is an ALOC, especially if their respirations are within normal limits.Great article. I look forward to reading more as you continue to post.