234 results
Opioid Overdose Management and Discharge Criteria

Patients with presumed opioid overdose were safely discharged one hour after
one hour after naloxone ... Criteria #Opiate #Narcan ... #Naloxone #Addiction
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... after 10-12 mg naloxone ... the effective* naloxone ... A naloxone infusion ... #Narcan #Toxicology
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone ... Algorithm #Management #Addiction
Trick of the Trade: Naloxone Dilution for IV Use - Given that many ED overdose patients
of the Trade: Naloxone ... opioid-naive, lower naloxone ... and administer naloxone ... or syringe of naloxone ... up the 1 mL of naloxone
Addictions: Pathogenesis

Mesolimbic Dopaminergic Pathway:
 • Dopaminergic neurons in Ventral Tegmental Area (VTA) in midbrain under continuous
Addictions: Pathogenesis ... which influence addictive ... behaviours -> Addiction ... Withdrawal) #Drug #Addiction
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Muscles Shoulder Abduction ... Nerve Shoulder Adduction ... Nerve Fingers Abduction ... Gluteal Nerve Hip Abduction
Rapid Titration of IV Naloxone for Opioid Overdose 
Signs of Opioid Overdose: 
 - Hypoventilation associated
Titration of IV Naloxone ... Opioid #Overdose #Naloxone
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Shoulder: • Abduction ... (axillary) • Adduction ... C8 (radial) • Abduction ... T1 (ulnar) • Adduction
St Paul's Early Discharge Rule
 
ONE HOUR after naloxone administration, patients can be safely discharged if
ONE HOUR after naloxone ... Rule #Criteria #Naloxone
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
of hand (finger abduction ... & adduction) OK