The Skeptics Guide to Emergency Medicine cover image

The Skeptics Guide to Emergency Medicine

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

Sep 21, 2024
Dr. Chris Root, an emergency medicine physician with expertise in EMS from the University of New Mexico, dives into the controversial role of naloxone in out-of-hospital cardiac arrests. He discusses a recent study from California, highlighting the implications of naloxone on survival rates. The conversation navigates the complexities of administering the drug, the importance of patient outcomes, and critiques the reliance on statistical measures like NNT. Ethical considerations surrounding organ donation are also touched upon, adding depth to this critical topic.
25:30

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Podcast summary created with Snipd AI

Quick takeaways

  • Naloxone shows potential in improving survival rates during out-of-hospital cardiac arrests linked to opioid use, necessitating further research.
  • Variability in EMS protocols regarding naloxone use highlights the need for consistency and evidence in emergency resuscitation practices.

Deep dives

Understanding Naloxone's Role in Cardiac Arrest

Naloxone, a medication primarily used to reverse opioid overdoses, is increasingly recognized for its potential role in out-of-hospital cardiac arrest (OCA). This episode discusses a case where naloxone may aid patients experiencing cardiac arrest linked to opioid use, as opioids can induce respiratory depression leading to hypoxia and subsequent cardiac arrest. While traditional guidelines have recommended naloxone mainly for suspected overdoses, new perspectives are emerging regarding its utility in OCA, given the rising incidence of opioid-related incidents. Despite its promise, the effectiveness of naloxone in improving survival rates during cardiac arrest remains a subject of ongoing research and varying EMS practices, creating a need for further investigation into its application in emergency protocols.

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