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Concurrent Block #3

911, EMS, Fire & Law Enforcement

Addressing Opioid Overdose Resuscitation Issues

Naloxone in Peri and Full Cardiac Arrest

Thursday, November 30, 2023
2:55 PM – 3:20 PM PST
Location: Town and Country Ballroom B

    Primary Presenter(s)

  • Cindy K. Tait, EMT-P, RN, PHN, MPH

    CEO
    Center for Healthcare Education, Inc.
    Riverside, CA, United States

    Disclosure(s): No financial relationships to disclose

    • Moderator(s)

  • Loralee Olejnik, MA, EMT-B

    Public Health Educator
    Not representing current agency
    San Diego, California, United States

    Disclosure information not submitted.

Disclosure(s):
Cindy K. Tait, EMT-P, RN, PHN, MPH: No financial relationships to disclose
Summary: Naloxone is a potent opioid receptor antagonist that reverses respiratory depression/arrest. Is Naloxone an effective reversal agent in pediatric and adult full cardiac arrest?

Synopsis: It is well known that Naloxone is a potent opioid receptor antagonist that reverses opioid-related respiratory depression/arrest. However, is Naloxone an effective reversal agent in pediatric and adult full cardiac arrest? This session will provide an updated review on the use of Naloxone for respiratory arrest that without treatment can progress to apneic and pulseless patients with CPR in progress. Included is a deep dive into the most recent research and empirical reports from EMS and emergency department providers at the basic and advanced levels. Evidence will be presented both for and against Naloxone administration during cardiac arrest.

Learning Objectives:

  • Discuss the nose-brain-pathway for delivery of intra-nasal naloxone and how circulation is a factor.
  • Debate which treatment option for pediatric and adult patient is better during an opioid related cardiac arrest is better- administration of naloxone or immediate endotracheal incubation.
  • Discuss the pros and cons of empiric administration of Naloxone in cardiac arrest.
  • This presentation will include components of a high quality collaborative cardiovascular and resuscitation program in a dispatch, EMS and / or healthcare system that has demonstrated improvement in survival from SCA.
  • This presentation will include strategies for implementing data collection and quality improvement programs in an ECC system to support accountability and reporting.
  • This presentation will describe three (3) strategies for implementing effective support systems for cardiac arrest victims, survivors and their families and rescuers.