REVISITING NALOXONE: A different take on overdose guidelines from Lee County, Fla.

摘要

Medic 1 and Engine 1 are dispatched to a man down in a parked auto-mobile at a local pharmacy. Law enforcement is on scene and has rendered the scene safe. Forced entry into the vehicle is made and the providers make contact with an adult male slumped over the steering wheel. The patient's primary assessment reveals he's a 45-year-old male, 80 kg, unconscious and ill-appearing. He has snoring respirations and is bradypneic with retractions. He's cyanotic and unresponsive, with a Glasgow coma score of 1/1/1 = 3.The patient is immediately removed from the auto, placed in a semi-Fowlers position on the stretcher with a head-tilt chin lift, and quickly transitioned to the awaiting medic unit.