There have been a lot of changes in EMS over the years that I have chronicled. New meds, new equipment, new procedures, new trends, etc. One distinct change is the patient or their family’s level of suspicion over giving out their information. Name, date of birth and social security number. We try to get this…
The latest CDC data released today show US overdose deaths are down 16.74% from the reported rolling 12-month high of 111,802 in August of 2023 to the reported June 2024 count of 93,087 (the latest reported provisional data available). The CDC also reports overdose deaths in Connecticut are down 24.14% from the state rolling 12-month…
The day I thought Donald Trump might really win was several months ago when I attended a gathering of people who had or had had family members in prison and were interested in humane drug policy. One of the leaders of the group, said he wasn’t buying Kamala. “A prosecutor is a prosecutor is a…
I always enjoying giving a new medicine, using a new gadget or following a new procedure for the first time. I clearly remember the first time I gave Ativan on standing order, the first time I gave Cardizem, fentanyl, zofran, and ketamine, all new meds at one time. I remember the first time I did a…
Is the decline in drug overdose deaths more related to the increased availability of naloxone, improved treatment for people who use drugs, or changes in the street drug supply, which while still quite toxic may be less so due to adulteration with other chemicals? A recent article in NPR, The pipeline of deadly fentanyl into…
U.S. overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. For the 12-month period April 2023 to April 2024, deaths fell nationally for the first time, declining by 10%. Here in Connecticut, we witnessed a decline beginning in November 2021. Deaths are down by 20% in our state when comparing the…
Across the nation states are passing initiatives to allow EMS services to leave naloxone kits on scene with at risk patients, their family, friends or bystanders. In Connecticut, kits may be left with a patient who refuses treatment/transport, a patient family member or friend when a patient is transported, as replacement for bystander/layperson who provided…
My Dad was born in 1934. He grew up in White Plains, New York in a modest house with a small yard enclosed by a white picket fence. His father worked for the telephone company and his mother was a nurse. He had a younger brother and sister, Peter and Helen, who he looked out…
I-TEAM: EMS union concerned speed bumps hurt patients. An EMS union in Cleveland was concerned enough about a municipal plan to add more speed bumps to the city streets that they went to the city council to let them know that speed bumps cause harm to patients in pain. They said, while they appreciated the…
Connecticut recently added supraglottic airways to the BLS scope of practice. That means basic EMTs (emergency medical technicians with considerably less training than paramedics) with the approval of their sponsor hospital medical director, no longer have to rely on bag-valve-mask ventilation to breathe for patients in cardiac arrest. Bag valve mask ventilation for those not…
There is a new documentary about EMS called Honorable but Broken that highlights the crisis in EMS of high stress, low pay and lack of financial support from society. The film aims to reach the general public who are largely unaware of what most of us in EMS know too well. A noble profession and…
People ask me if I still work the road, and many are surprised when I say I still do, qualifying it with “just one day a week.” They shake their heads and smile and say, “good for you!” While I do generally work one day a week, I didn’t work at all in July due…
Drug overdose deaths are down 3.1% nationwide according to the latest figures from the CDC. 107,543 people died of drug overdoses in 2023 down from 111,029 in 2022. Here in Connecticut, drug overdose deaths have been decreasing for the last two years (down 14% in 2023 from the 2021 high). Preliminary data I have seen…
The AP recently published a story about EMS sedation of patients during police encounters — Dozens of deaths reveal risks of injecting sedatives into people restrained by police. I was interviewed for it back in February of 2023, and the final story includes a small quote from me. “I don’t believe he was a candidate…
I was honored to be asked to write an essay that was included in the new anthology –Voices from the Front Line: The Pandemic and the Humanities edited by by Katherine Ratzan Peeler and Richard M. Ratzan and published the University of California Health Humanities Press. Here is the description of the book from Amazon: What are the limits of…
I was honored to be the keynote speaker at the recent symposium held at Eastern Connecticut College, Moving Forward: Community Dialogues on the Opioid Epidemic. Thanks to the organizers for putting on a great event. I was impressed at the almost universal recognition among the participants that the best way out of this crisis was…
Connecticut opioid-related deaths declined for the second year in a row, down 14% from their 2021 high of 1431 opioid deaths, according to the latest statistics from the Connecticut Office of the Medical Examiner (OCME). Opioid deaths represented 92% of all overdose deaths in Connecticut. Fentanyl was present in 92% of opioid deaths and 85% of…
One study showed naloxone stayed viable even after thirty years of storage in a less than ideal setting.
While the news often focuses on the dangers of fentanyl to youth, what I see on the street and what the data shows is that the group that is seeing the biggest increase in overdoses is the elderly.
In an age of accountability, slamming naloxone for the purpose of punishing a patient should be considered criminal assault.