Moderator EMEDPA Posted July 22, 2011 Author Moderator Share Posted July 22, 2011 female pt aloc/unresponsive, diaphoretic. cbg normal narcan 2 mg intranasal...pt wide awake within 1 min..."hey, you're sexy, what are you 25?" wow, she was plastered.... Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 22, 2011 Moderator Share Posted July 22, 2011 female pt aloc/unresponsive, diaphoretic. cbg normal narcan 2 mg intranasal...pt wide awake within 1 min..."hey, you're sexy, what are you 25?" wow, she was plastered.... Link to comment Share on other sites More sharing options...
Just Steve Posted July 22, 2011 Share Posted July 22, 2011 lol, very nice... Link to comment Share on other sites More sharing options...
Just Steve Posted July 22, 2011 Share Posted July 22, 2011 lol, very nice... Link to comment Share on other sites More sharing options...
rcdavis Posted July 22, 2011 Share Posted July 22, 2011 Most the time when I give narcan, as soon as the PT opens his mouth, I immediately regret it. Link to comment Share on other sites More sharing options...
rcdavis Posted July 22, 2011 Share Posted July 22, 2011 Most the time when I give narcan, as soon as the PT opens his mouth, I immediately regret it. Link to comment Share on other sites More sharing options...
Contrarian Posted July 22, 2011 Share Posted July 22, 2011 ... narcan 2 mg intranasal... Hey E... Where did you guys snag the atomizers...??? (company & NSN-Stock number please) I've been trying to convince folks at one of my jobs to switch to intranasal Benzos for our agitated combative patients... and would like to have this option at another job for detox. Thanks Contrarian Link to comment Share on other sites More sharing options...
Contrarian Posted July 22, 2011 Share Posted July 22, 2011 ... narcan 2 mg intranasal... Hey E... Where did you guys snag the atomizers...??? (company & NSN-Stock number please) I've been trying to convince folks at one of my jobs to switch to intranasal Benzos for our agitated combative patients... and would like to have this option at another job for detox. Thanks Contrarian Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted July 22, 2011 Share Posted July 22, 2011 Once upon a time, one of my co-workers gave 2mg narcan to an OD. When he saw the pt. start to move, he put his hand on the pt's forehead and said, "Demon, I command you to come out of this man!" - the pt. woke up, and the EMT-B on the run freaked out. This run became part of the folk-lore at my dept. Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted July 22, 2011 Share Posted July 22, 2011 Once upon a time, one of my co-workers gave 2mg narcan to an OD. When he saw the pt. start to move, he put his hand on the pt's forehead and said, "Demon, I command you to come out of this man!" - the pt. woke up, and the EMT-B on the run freaked out. This run became part of the folk-lore at my dept. Link to comment Share on other sites More sharing options...
flyingsquirrel Posted July 22, 2011 Share Posted July 22, 2011 We've been using these at my EMS job for a couple of years and I love them. We get ours from Bound Tree Medical, item #400124 (with 3cc syringe) or #400125 (without syringe). I don't know the NSN, sorry. The website for the manufacturer is http://64.245.154.166/MAD/MADNasal.aspx Link to comment Share on other sites More sharing options...
flyingsquirrel Posted July 22, 2011 Share Posted July 22, 2011 We've been using these at my EMS job for a couple of years and I love them. We get ours from Bound Tree Medical, item #400124 (with 3cc syringe) or #400125 (without syringe). I don't know the NSN, sorry. The website for the manufacturer is http://64.245.154.166/MAD/MADNasal.aspx Link to comment Share on other sites More sharing options...
Just Steve Posted July 22, 2011 Share Posted July 22, 2011 http://www.youtube.com/watch?v=8xU_vcb3kso&feature=related it's a R rated clip but still a classic Link to comment Share on other sites More sharing options...
Just Steve Posted July 22, 2011 Share Posted July 22, 2011 http://www.youtube.com/watch?v=8xU_vcb3kso&feature=related it's a R rated clip but still a classic Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 22, 2011 Author Moderator Share Posted July 22, 2011 do a search for mucosal atomizer device (mad) there are lots of places that sell them for $3/each. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 22, 2011 Author Moderator Share Posted July 22, 2011 do a search for mucosal atomizer device (mad) there are lots of places that sell them for $3/each. Link to comment Share on other sites More sharing options...
Contrarian Posted July 22, 2011 Share Posted July 22, 2011 Thanks Guys... I actually had both the "MAD" site and the "Intranasal-dot-net" sites bookmarked 2 computer crashes ago. For those interested in intranasal admin of various medications see here... Link to comment Share on other sites More sharing options...
Contrarian Posted July 22, 2011 Share Posted July 22, 2011 Thanks Guys... I actually had both the "MAD" site and the "Intranasal-dot-net" sites bookmarked 2 computer crashes ago. For those interested in intranasal admin of various medications see here... Link to comment Share on other sites More sharing options...
CAdamsPAC Posted July 24, 2011 Share Posted July 24, 2011 Thanks Guys... I actually had both the "MAD" site and the "Intranasal-dot-net" sites bookmarked 2 computer crashes ago. For those interested in intranasal admin of various medications see here... Thanks "C" et al! Link to comment Share on other sites More sharing options...
CAdamsPAC Posted July 24, 2011 Share Posted July 24, 2011 Thanks Guys... I actually had both the "MAD" site and the "Intranasal-dot-net" sites bookmarked 2 computer crashes ago. For those interested in intranasal admin of various medications see here... Thanks "C" et al! Link to comment Share on other sites More sharing options...
medic25 Posted July 24, 2011 Share Posted July 24, 2011 When I was a newish EMT, I was partnered with a very burnt-out medic who had the craziest narcan wakeup I've ever heard of. He responded to a respiratory arrest/heroin OD. After intubating the patient, he started an IV and pushed narcan, promptly waking the patient up. Instead of extubating the patient, he kept the tube in and transported. When they got to the ED, he had the patient stand up and stick out his index finger. He then hung the IV bag on the patients finger and walked him, ET tube still in place, into triage!! Link to comment Share on other sites More sharing options...
medic25 Posted July 24, 2011 Share Posted July 24, 2011 When I was a newish EMT, I was partnered with a very burnt-out medic who had the craziest narcan wakeup I've ever heard of. He responded to a respiratory arrest/heroin OD. After intubating the patient, he started an IV and pushed narcan, promptly waking the patient up. Instead of extubating the patient, he kept the tube in and transported. When they got to the ED, he had the patient stand up and stick out his index finger. He then hung the IV bag on the patients finger and walked him, ET tube still in place, into triage!! Link to comment Share on other sites More sharing options...
medic25 Posted July 24, 2011 Share Posted July 24, 2011 +1 for the MAD. We've used it in the field for a couple of years to administer both narcan and midazolam, and have found it to be very effective. With the next update to our protocols we are looking to add IN fentanyl, primarily for pediatric analgesia. Link to comment Share on other sites More sharing options...
medic25 Posted July 24, 2011 Share Posted July 24, 2011 +1 for the MAD. We've used it in the field for a couple of years to administer both narcan and midazolam, and have found it to be very effective. With the next update to our protocols we are looking to add IN fentanyl, primarily for pediatric analgesia. Link to comment Share on other sites More sharing options...
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