Transcript File - Carpenter CPR Solutions

Bystander Naloxone Training Saves Lives
Death rates are spiraling out of
control--for both prescription
opioids and heroin!
Graphic: Nytimes.com
The scope of the problem
Over the past
decade, rates of
heroin use
increased by over
60%, while heroin
overdose deaths
nearly quadrupled,
climbing by 286%.
Graphic: Drugabuse.gov
The CDC has
classified
overdose
deaths as a
national
epidemic.
Graphic: teens.drugabuse.gov
Locally, trends are increasing
dramatically as well.
An additional 9
deaths are directly
attributable to
prescription opioids
in 2014
Graphic: Fredericknewspost.com
Reversing the trend
•Increased funding
is leading to new
public service
efforts.
•Increased
prescription opioid
monitoring.
•Increased access
to treatment.
•Reversing acute
overdose.
Graphic: www.CDC.gov
Policy Statement
Naloxone has been proven safe and
Naloxone
has been
proven
safe and
efficacious
in the
emergent
efficacious
the emergent
reversal
of
reversal
ofinopioid
overdose
by lay
opioid overdose by lay rescuers.
rescuers.
Increased naloxone training and availability
Increased
naloxone
training
and
of this drug in the community is
availability
of this drug in the
advantageous.
community is advantageous.
Studies show…
•Bystanders (including other
users) are willing to help.
•Intranasal Naloxone is safe
and effective.
•Formal, in-class training
increases confidence and
competence.
•When naloxone is available,
it is used to save lives!
Graphic: Static1.squarespace.com
Emergency treatment:
•Recognize the
overdose.
•Stimulate the person.
•Call for help.
•Administer naloxone.
•Perform rescue
breathing.
Graphic: thatoregonlife.com
Overdose response training includes:
•Identification of an
opioid
•Overdose recognition
•Responding to an
overdose
•Detailed naloxone
administration
instructions
•Question and Answer
session
•Skills practice
Graphic: bha.dhmh.maryland.gov
The Details:
Graphic: http://bha.dhmh.maryland.gov
Implementation
•Space and training provided
by entity free of charge as
community service.
•Naloxone training materials
have been provided by
emergency department
personnel.
•Other supplies, such as
atomizers and certificates,
provided free of charge by
entity.
•Training curriculum provided
by State of Maryland.
Graphic: wvgazettemail.com
Trainings have no associated cost to
attendees. They are geared
specifically to family and friends,
although anyone may attend.
Upon successful completion attendees will
receive a certificate which will allow purchase of
naloxone from a local pharmacy without a
prescription.
Graphic: choppersguide.com
Spread the word...
Register now
on the course
calendar at:
CarpenterCPRsolutions.com
Other local training entities:
•Frederick County Health
Department also offers
some bystander training.
Many trainings at this entity
are directed toward local
law enforcement.
•Mountain Manor Treatment
Center in Emmitsburg offers
training to inpatients and
family members only at this
time.
Graphic: EMSworld.com
THANK YOU!
Thank you for your time
and support with the
implementation of this
project. Your efforts will
save lives!
References
 American Public Health Association. (2016). Reducing opioid overdose through
education and naloxone distribution. Retrieved from https://www.apha.org/policiesand-advocacy/public-health-policy-statements/policydatabase/2014/07/16/13/08/reducing-opioid-overdose-through-education-andnaloxone-distribution
 American Society for Addiction Medicine. (2016). Opioid addiction 2016 facts and
figures [Fact sheet]. Retrieved from http://www.asam.org/docs/defaultsource/advocacy/opioid-addiction-disease-facts-figures.pdf
 Behavioral Health Administration, Department of Health and Mental Hygiene, State of
Maryland (2015). Maryland overdose response program: Educational training
program core curriculum [PowerPoint slides]. Retrieved from
http://bha.dhmh.maryland.gov/Documents/MD_ORP_CoreCurriculum_Updated_Dec%
202015v2.pdf
 Centers for Disease Control and Prevention (2014). The 10 essential public health
services: An overview [Lecture notes]. Retrieved from
http://www.cdc.gov/nphpsp/documents/essential-phs.pdf
 Centers for Disease Control and Prevention. (2015). Today’s heroin epidemic [Issue
brief]. Retrieved from http://www.cdc.gov/vitalsigns/heroin/
 Clark, A. (2014, August 17). Legislative: Responding to the fatal opioid overdose
epidemic: A call to nurses. OJIN: The Online Journal of Issues in Nursing, 19(3).
References
 Frederick County Health Department. (2012). Opioid overdose prevention plan.
Retrieved from https://frederickcountymd.gov/DocumentCenter/View/265401
 Giglio, R. E., Li, G., & DiMaggio, C. J. (2015). Effectiveness of bystander naloxone
administration and overdose education programs: A meta-analysis. Injury
Epidemiology, 2(1). http://dx.doi.org/10.1186/s40621-015-0041-8
 Jones, P. (2015, March 29). Police: Prescription drug abuse in county pervasive, but
pales to heroin epidemic. Frederick News Post. Retrieved from
http://www.fredericknewspost.com/news/crime_and_justice/police-prescription-drugabuse-in-county-pervasive-but-pales-to/article_ccf5b5f2-632b-5527-8031b9d5efd77a84.html
 Kerr, D., Kelly, A., Dietze, P., Jolley, D., & Barger, B. (2009). Randomized controlled
trial comparing the effectiveness and safety of intranasal and intramuscular naloxone
for the treatment of suspected heroin overdose. Addiction, 104(12), 2067-2074.
http://dx.doi.org/10.1111/j.1360-0443.2009.02724.x
 Maryland Department of Health and Mental Hygiene. (2015). Drug and alcohol-related
intoxication deaths in Maryland, 2014 [Annual report]. Retrieved from
http://dhmh.maryland.gov/data/Documents/Annual%20OD%20Report%202014_merg
ed%20file%20final.pdf
 National Institute on Drug Abuse. (2014). Abuse of prescription pain medications risks
heroin use [Infographic]. Retrieved from https://www.drugabuse.gov/relatedtopics/trends-statistics/infographics/abuse-prescription-pain-medications-risks-heroinuse
References
 Statistica. (2016). Drug overdose death rate in the United States in 2015, by state (per
100,000 population). Retrieved from http://www.statista.com/statistics/246637/top-tenleading-states-concerning-death-rate-of-drug-overdose-in-the-us/
 Strang, J. (2015). Death matters: Understanding heroin/opiate overdose risk and
testing potential to prevent deaths. Addiction, 110(S2), 27-35.
http://dx.doi.org/10.1111/add.12904
 The Network for Public Health Law. (2015). Legal interventions to reduce overdose
mortality: Naloxone access and overdose good samaritan laws. Retrieved from
https://www.networkforphl.org/_asset/qz5pvn/network-naloxone-10-4.pdf
 Wheeler, E., Jones, T.S., Gilbert, M.K., Davidson, P.J., & Centers for Disease Control
and Prevention (CDC). (2015). Opioid overdose prevention programs providing
naloxone to laypersons - United States, 2014. MMWR. Morbidity and Mortality Weekly
Report, 64(23), 631. Retrieved from
http://search.proquest.com/docview/1693339571?accountid=14793
 Williams, A. V., Marsden, J., & Strang, J. (2014). Training family members to manage
heroin overdose and administer naloxone: Randomized trial effects on knowledge and
attitudes. Addiction, 109(2), 250-259. http://dx.doi.org/10.1111/add.12360