October 7th, 2022 Case Study

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This is an NREMT question. They want you to pick between the two but reality is both. I BVM while partner slams narcan.

TKTK-swtq
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Ventilate first, improve oxygen sats to reduce the likelihood of cerebral agitation caused by hypoxic brain injury. You have time. Then once you’ve ventilated for an adequate time, administer Naloxone.

brentoncox
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Both o2 first then narcan have suction ready. Beware of previously administered narcan. And get them between “normal” limits we don’t need to make this px wide awake. But just stable. If we do that we run the risk of an agitated patient with rebounding effects & possibility of projectile vomitting. Possible aspirated of their own vomit. We would obv try our best to suction but anything’s possivle and we could’ve avoided that.

Merookys
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I would have my partner ventilate with a pediatric BVM, while.i prepared and administered narcan😊

daniel
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BVM takes a moment to unpack, assemble, and begin ventilations. In that time your partner could unpack and pop the 4mg Narcan if your department uses them. All without skipping a beat.

ethansmith
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ABCs so I would ventilate. Narcan still takes time to work regardless of route.

scottschollenberger
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XABCs! First, establish a patent airway and adequately ventilate with a BVM. Have your partner administer Narcan while you ventilate.

justincarrasquillo
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BLs opa or npa with BVM 15 lpm o2 breathing 1st after 5 mins or s few then narcan apneic in ABCd are 2most important

robertvalitsky
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ABC’s. Ventilate and oxygenate first and then narcan. Or you can work simultaneously with your partner as they ventilate as you prepare the narcan.

nakedbigboss
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Address life threats first. Ventilate with BVM.

jamesbrittneybyram
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Ventilation while getting narcan ready

Upside_down_Magic
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I’d ventilate or have my partner ventilate while getting the narcan out and everything set up for giving it

jeanaraeharris
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The danger of opioid overdoses comes from reduced respiratory drive, so they require ventilations with o2. Hypoxia is an immediate life threat.ABCs.

mrobsoletex
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BVM NPA ON 15LPM FOR A FEW MINUTES airway is secured so no emergency

robertvalitsky