No deaths associated with patient refusal of transport after naloxone-reversed opioid overdose

Prehospital Emergency Care

Volumn 15, Issue 3, 2011, Pages 320-324

  Wampler, David A ^a,d   Molina, D Kimberley ^b   McManus, John ^c   Laws, Philip ^d   Manifold, Craig A ^a,d  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b Bexar County Medical Examiner's Office   (United States)

^c BROOKE ARMY MEDICAL CENTER   (United States)

^d San Antonio Police Department   (United States)

Author keywords

emergency medical services; Heroin; mortality; naloxone; narcotic; opioid; overdose; patient refusal; prehospital

Indexed keywords

DIAMORPHINE; NALOXONE; NARCOTIC ANALGESIC AGENT; NARCOTIC ANTAGONIST;

ADOLESCENT; ADULT; AGED; ARTICLE; EMERGENCY HEALTH SERVICE; FACTUAL DATABASE; FEMALE; HUMAN; INTOXICATION; MALE; MIDDLE AGED; PATIENT TRANSPORT; PSYCHOLOGICAL ASPECT; RETROSPECTIVE STUDY; RISK; RISK ASSESSMENT; STATISTICS; TREATMENT REFUSAL; UNITED STATES;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANALGESICS, OPIOID; DATABASES, FACTUAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEROIN; HUMANS; MALE; MIDDLE AGED; NALOXONE; NARCOTIC ANTAGONISTS; OVERDOSE; PATIENT TRANSFER; RETROSPECTIVE STUDIES; RISK; RISK ASSESSMENT; TEXAS; TREATMENT REFUSAL; YOUNG ADULT;

EID: 79957639511     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2011.569854     Document Type: Article

References (16)

1. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Drug Abuse Warning Network, 2007: National Estimates of Drug-Related Emergency Department Visits. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, 2010.
2. Ngai SH, Berkowitz BA, Yang JC, Spector S. Pharmacokinetics of naloxone in rats and in man. Anesthesiology. 1976;44:398-401.
3. Hoffman JR, Schriger DL, Luo JS. The empiric use of naloxone in patientswith alteredmental status: a reappraisal. Ann Emerg Med. 1991;20:246-52.
4. Clarke S F J, Dargan PI, Jones AL. Naloxone in opioid poisoning: walking the tight rope. Emerg Med J. 2005;22:612-6. (Pubitemid 41200623)
5. Vilke GM, Smith AM, Chan TC. Leaving against medical advice after out-of-hospital naloxone: a closer look is needed. Acad Emerg Med. 2004;11:323-4. (Pubitemid 38364875)
6. Sporer KA, Firestone J, Isaacs M. Out-of-hospital treatment of opioid overdoses in an urban setting. Acad Emerg Med. 1996;3:660-7. (Pubitemid 26234517)
7. Buajordet I, Naess A-C, Jacobsen D, Brørs O. Adverse events after naloxone treatment of episodes of suspected acute opioid overdose. Eur J Emerg Med. 2004;11:19-23.
8. Vilke GM, Buchanan J, Dunford JV, Chan TC. Are heroin overdose deaths related to patient release after prehospital treatment with naloxone? Prehosp Emerg Care. 1999;3:183-6. (Pubitemid 29356339)
9. Baca CT, Grant KJ. Take-home naloxone to reduce heroin death. Addiction. 2005;100:1823-31. (Pubitemid 41775207)
10. Maxwell S, Bigg D, Stanczykiewicz K, Carlberg-Racich S. Prescribing naloxone to actively injecting heroin users: a program to reduce heroin overdose deaths. J Addict Dis. 2006;25:89-96. (Pubitemid 44352907)
11. U. S. Census Bureau. Available at: www.census.gov. Accessed August 2010.
12. Boyd JJ, Kuisma MJ, Alapsää AO, Vuori E, Repo JV, Randell TT. Recurrent opioid toxicity after pre-hospital care of presumed heroin overdose patients. Acta Anaesth Scand. 2006;50:1266-70. (Pubitemid 44624308)
13. Sporer KA, Dorn E. Heroin-related noncardiogenic pulmonary edema. Chest. 2001;120:1628-32.
14. Osler W. Oedema of the left lung-morphia poisoning. In: Montreal General Hospital Reports-Clinical and Pathology. Montreal, Quebec, Canada: Dawson Bros Publishers, 1880, pp. 291-2.
15. Strerrett C, Brownfield J, Korn CS, Hollinger M, Henderson SO. Patterns of presentation in heroin overdose resulting in pulmonary edema. Am J Emerg Med. 2003;21:32-4. (Pubitemid 36176127)
16. Robertson TM, Hendey GW, Stroh G, Shalit M. Intranasal naloxone is a viable alternative to intravenous naloxone for prehospital narcotic overdose. Prehosp Emerg Care. 2009;13:512-5.