Transcript Narcan Administration for Portage Police

Opioid Rescue Kits
for Porter County
Sheriff’s Department
The Opioid Problem
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Lethal Drug dose is the leading cause of
accidental death in America
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41,502 drug overdose deaths in 2012
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39% caused by opioids
Lethal Drug doses have quadrupled in Indiana
since 1991
www.overdose-lifeline.org
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The Opioid Problem
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Opioids include legal prescriptions and illegal
drugs
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Prescription Diversion
Heroin
Porter County is a HIDTA since 2011
www.overdose-lifeline.org
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The Opioid Problem
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Paths to Prescription Drug Addiction
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39 year-old with back pain
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17 year-old riffling through their friend’s grandma’s
medicine cabinet
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Star DE getting some
“safe” meds from a
buddy to make the next
game
www.overdose-lifeline.org
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The Opioid Problem
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Paths to Heroin Addiction
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Prescription Drug Addiction
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Limiting supply of prescription opioids didn’t solve
the problem of addiction
Girls/women:
introduced to Heroin
by a boy/man
Lower cost, higher
purity
www.overdose-lifeline.org
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The Opioid Lethal Dose
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Forgets to Breathe
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Central Nervous System depression
Opioid overdoses is rarely instantaneous
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Most deaths occur between one to three hours after
taking the opioid
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Someone “found dead with a needle in their arm”
uncommon, but happens, especially when using opioids
+ others substances
www.overdose-lifeline.org
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How do opioids affect breathing?
Opioid Receptors, brain
Opioid
www.overdose-lifeline.org
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How does naloxone affect overdose?
Neutralizes
opioid’s effect on
receptors
www.overdose-lifeline.org
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Why Use Naloxone?
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No Euphoric effect
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Safe
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Even if a person isn’t overdosing on an opioid
Similar to: CPR, AEDs, EpiPens
Proven track record
From 1996-2010:
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53,032 people trained
10,171 people saved
Saves Money
A life saved can be a life restored
www.overdose-lifeline.org
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Myths: Why Not Use Naloxone?
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If those with substance use disorder know that
Naloxone can save their life, they will abuse more
drugs
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Naloxone will keep people from seeking
treatment
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People can be violent after receiving Naloxone
www.overdose-lifeline.org
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Positive Tests for Opiates
Porter Country Adult Population 2003-2013
Positve Tests for Opiates
800
720
666
700
600
545
500
442
485
405
401
400
300
574
282
218
181
200
100
0
2003
2004
www.overdose-lifeline.org
2005
2006
2007
2008
2009
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2010
2011
2012
2013
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Opiate Patients Treated
Porter-Starke Opiods 2011-2013
700
633
600
500
418
452
400
300
200
100
0
2011
www.overdose-lifeline.org
2012
2013
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PRH E.R. Opioid Admissions
Porter Regional Hospital Opioids 2011-2013
190
185
185
183
180
175
170
165
165
160
155
2011
www.overdose-lifeline.org
2012
2013
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Opioids by Age
Porter-Starke Opioids by Age Opioids 2011-2013
Combined
500
443
450
400
350
278
300
250
216
200
150
99
100
50
38
10
0
<17
www.overdose-lifeline.org
18-25
26-34
35-44
14
45-55
55+
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Total Number of Opioids Prescribed -1991-2013
www.overdose-lifeline.org
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HIDTA Chronic Addicts
400
300
200
Porter County
100
0
2007
Lake County
2008
2009
Lake County
Porter County
2010
360 % Increase
www.overdose-lifeline.org
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2011
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Heroin-Related Deaths in Porter County
2003-2013
18
16
14
12
10
8
6
4
2
0
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
www.overdose-lifeline.org
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Potential Naloxone Opportunities
Opioid Related Deaths
50
45
40
35
30
25
20
15
10
5
0
2008
www.overdose-lifeline.org
2009
2010
2011
2012
18
2013
2014
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Common Opioids
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Codeine
Demerol
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Lorcet
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Methadone
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Vicodin
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Used as a MedicationAssisted Treatment
Porter-Starke uses
liquid methadone
Can be abused
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Oxycontin
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Morphine
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Hydrocodone
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Opium
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Heroin
www.overdose-lifeline.org
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Common Opioids
Natural
Semi-synthetic
Morphine
Codeine
Fentanyl
Methadone
Heroin
www.overdose-lifeline.org
Fully synthetic
Oxycodone Buprenorphine
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Symptoms of Opioid Overdose
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Decreased level of consciousness
Pinpoint pupils
Gurgling or choking noises
Body is Limp
Breathing slows or stops
Heart rate slows or stops
Blue lips and nails
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Caused by insufficient oxygen in the blood
Can’t be woken or can’t speak, even after:
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shaken or
sternal rub
www.overdose-lifeline.org
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Environmental Signs of Opioid Use
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Spoons
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Needles
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Tourniquet
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Lighter
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Balloons or baggies
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Pill Bottles
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www.overdose-lifeline.org
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• Each Narcan has a expiration date
on the end of box
• None of the contents are sharp
www.overdose-lifeline.org
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Naloxone Facts
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This is NOT Pulp Fiction
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Usually works in about 3 minutes
Lasts 30 to 90 minutes
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You won’t be stabbing anyone in the heart
Opioids can last longer than Naloxone
Won’t eliminate the opioid from the system
www.overdose-lifeline.org
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www.overdose-lifeline.org
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Administration of Naloxone
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Patient should be unresponsive first and foremost
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If no pulse and no breathing  Start CPR
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If pulse and no or slow breathing  Use Naloxone
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Open kit and assemble
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Place firmly against right nostril and spray half
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Place against left nostril and spray remainder
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Provide Rescue Breathing, as needed
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If it works usually patient will moan, increase breathing or become
combative with in 1- 5 minutes
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Advise changes and updates to Medics
www.overdose-lifeline.org
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Recovery position
www.overdose-lifeline.org
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Porter County Sheriff’s
Department Policy-- Highlights
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Civil Immunity
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Reporting
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If you follow the protocol in good faith, you will be
protected from civil law suits (by state law)
Use or loss
Expiration
Kit Storage
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Don’t store kit in extreme temperatures
www.overdose-lifeline.org
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