EMS Physicians Endorse Toxicology Groups' Opioid Safety Precautions Guidance

WASHINGTON, D.C. – The National Association of EMS Physicians (NAEMSP) announces its endorsement of a new American College of Medical Toxicology (ACMT) and American Academy of Clinical Toxicology (AACT) document detailing pragmatic and actionable safety precautions for first responders in opioid overdose situations. NAEMSP is an organization of physicians and other professionals partnering to provide leadership and foster excellence in the subspecialty of EMS medicine. In pursuing its mission to improve out-of-hospital emergency medical care, NAEMSP’s Executive Board and Standards and Clinical Practice Committee voted unanimously to endorse the opioid safety guidance. This crucial document enables an appropriate and measured communication of risk, allowing first responders to understand their genuine risk of exposure and avoid unnecessary fear or over-preparing to a point where they’re impaired in performing their job. “NAEMSP wholly endorses this impressive and highly-anticipated document and we will share it with our members and build on it with actionable guides that will be available for free to the public,” said Dr. Brent Myers, President of NAEMSP. “It’s important that our community act upon the most recent and best quality evidence available to us right now, as well as to stay vigilant and prepared to revise our procedures and advise our members as we continue to develop knowledge about dangerous substances.” Over the las...
Source: JEMS: Journal of Emergency Medical Services News - Category: Emergency Medicine Tags: Patient Care Industry News Source Type: news

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​Part 4 in a Four-Part SeriesThe United States is in the midst of a significant opioid epidemic, and a large proportion of the illegal opioids being sold contain fentanyl or fentanyl analogs. The Drug Enforcement Administration reported that U.S. law enforcement agencies seized at least 239 kilograms of illicitly produced fentanyl from August 2013 to the end of 2015. (http://bit.ly/2obUOLs.) This drug is responsible for many opioid overdoses and deaths because of its extremely low lethal dose.First responders, a population not initially thought to be at risk, have been found to be exposed to synthetic fentanyl analogs. S...
Source: The Tox Cave - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Conclusions and RelevancePotency of a prescription opioid analgesic demonstrates a significant, highly positive linear relationship with exposures resulting in SAEs per 100  kg drug dispensed reported to poison centers. Potency should be carefully considered from both individual provider and public health perspectives.
Source: Drug Safety - Category: Drugs & Pharmacology Source Type: research
The objective of this systematic review is to systematically synthesise and meta-analyse studies on doses of prescription opioids and ascertain the doses of opioids that are associated with increased risk of severe opioid poisoning or mortality.Data SourcesA search of PubMed, EMBASE, CINAHL and Web of Science from inception to 16  January 2017 was conducted using search strategies and the MeSH (Medical Subject Headings) terms for studies of adult patients using prescription opioids who experienced an accidental overdose.Study SelectionOf the 1332 studies identified, 117 were selected for full article review. Ten met t...
Source: CNS Drugs - Category: Neurology Source Type: research
Alexander Gettler Once again, last year’s outstanding examples of long-form journalism dealing with topics related to medical toxicology were dominated by coverage of the opioid crisis, its origins and the resulting carnage. The must-read article of the year was “The Family That Built a Empire of Pain,” Patrick Radden Keefe’s massive history of the Sacklers, one of America’s richest clans, much of whose wealth comes from their ownership of Purdue Pharma and the marketing and distribution of Oxycontin. The article, which appeared in the New Yorker, notes that the clan’s patriarch, Ar...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical 2017 Alexander awards opioids Purdue Pharma Sackler Source Type: news
Up until the first half of the twentieth century, large-scale health disasters were mostly due to natural causes (earthquakes, volcanoes, hurricanes, etc.) or infections (e.g., smallpox, influenza epidemics, cholera). But something peculiar happened as we entered the second half of the century: Health disasters due to natural causes became dwarfed by large-scale health disasters that are man-made. Here’s a list of the Six Worst U.S. Health Disasters of the Last 50 Years, mostly man-made phenomena that have exacted huge tolls: widespread disease, premature death, poorly managed (though nonetheless highly profitable fo...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Undoctored Wheat Belly Lifestyle autoimmune gluten grain-free grains Inflammation low-carb Weight Loss Source Type: blogs
A coalition of 41 states' attorneys general have served five major opioid manufacturers with subpoenas seeking information about how these companies marketed and sold prescription opioids. The coalition is also demanding documents and information related to distribution practices from three drug distributors. The investigative subpoenas and document requests were sent to pharmaceutical manufacturers Endo International, Janssen Pharmaceuticals, Teva Pharmaceutical Industries Ltd./Cephalon Inc. and Allergan. The group also served a supplemental investigative subpoena to Purdue Pharma. Documents were also requested of three ...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
As so often happens, a frantic mother called us about her 19-year-old daughter, who I’ll call Jen. A heroin addict, Jen had been shuttled between multiple treatment centers and sober homes by greedy marketers looking to cash in on the teenager’s insurance benefits by keeping her perpetually in recovery, but never sober. As our investigator searched Palm Beach County for Jen, her mother finally reached her by phone. She pleaded with her daughter to leave Florida, to which Jen replied, “Why would I come home? I have all I need here.” In the ensuing months, Jen has become a victim of a vicious cycle kn...
Source: TIME.com: Top Science and Health Stories - Category: Consumer Health News Authors: Tags: Uncategorized Addiction Affordable Care Act Drugs Health Care Source Type: news
As so often happens, a frantic mother called us about her 19-year-old daughter, who I’ll call Jen. A heroin addict, Jen had been shuttled between multiple treatment centers and sober homes by greedy marketers looking to cash in on the teenager’s insurance benefits by keeping her perpetually in recovery, but never sober. As our investigator searched Palm Beach County for Jen, her mother finally reached her by phone. She pleaded with her daughter to leave Florida, to which Jen replied, “Why would I come home? I have all I need here.” In the ensuing months, Jen has become a victim of a vicious cycle kn...
Source: TIME.com: Top Science and Health Stories - Category: Consumer Health News Authors: Tags: Uncategorized Addiction Affordable Care Act Drugs Health Care Source Type: news
3.5 out of 5 stars Controversies and carfentanil: We have much to learn about the present state of opioid poisoning. Cole JB, Nelson LS. Am J Emerg Med 2017 Aug 24 [Epub ahead of print] Reference I have argued — both in a post on this blog and a column in Emergency Medicine News — that the idea of a “heroin overdose” is a completely outdated concept that is never coming back. The fact is, when a patient comes in today with a history of shooting or snorting heroin, none of us have any firm idea about exactly what drug or drugs were involved. The chance that such a patient was exposed only to heroin i...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical carfentanil fentanyl opiates opioids Source Type: news
BACKGROUND In response to the growing prescription drug overdose (DO) epidemic in the U.S., an Injury Surveillance Workgroup on Poisoning (ISWP) released Consensus Recommendations for National and State Poisoning Surveillance in April 2012. The ISWP propos...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
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