opioid rescue kits for porter county sheriff’s department
TRANSCRIPT
Opioid Rescue Kits for Porter County Sheriff’s Department
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The Opioid Problem
Lethal Drug dose is the leading cause of accidental death in America
41,502 drug overdose deaths in 2012 39% caused by opioids
Lethal Drug doses have quadrupled in Indiana since 1991
12/7/2014www.overdose-lifeline.org
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The Opioid Problem
Opioids include legal prescriptions and illegal drugs Prescription Diversion Heroin
Porter County is a HIDTA since 2011
12/7/2014www.overdose-lifeline.org
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The Opioid Problem
Paths to Prescription Drug Addiction
39 year-old with back pain
17 year-old riffling through their friend’s grandma’s medicine cabinet
Star DE getting some “safe” meds from a buddy to make the next game
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The Opioid Problem
Paths to Heroin Addiction Prescription Drug Addiction
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
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The Opioid Lethal Dose Forgets to Breathe
Central Nervous System depression
Opioid overdoses is rarely instantaneous Most deaths occur between one to three hours after
taking the opioid
Someone “found dead with a needle in their arm” uncommon, but happens, especially when using opioids + others substances
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How do opioids affect breathing?
Opioid Receptors, brain
Opioid
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How does naloxone affect overdose?
Neutralizes opioid’s effect on receptors
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Why Use Naloxone? No Euphoric effect
Safe Even if a person isn’t overdosing on an opioid Similar to: CPR, AEDs, EpiPens Proven track record From 1996-2010:
53,032 people trained 10,171 people saved
Saves Money
A life saved can be a life restored12/7/2014
www.overdose-lifeline.org 10
Myths: Why Not Use Naloxone?
If those with substance use disorder know that Naloxone can save their life, they will abuse more drugs
Naloxone will keep people from seeking treatment
People can be violent after receiving Naloxone
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Positive Tests for OpiatesPorter Country Adult Population 2003-2013
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
100
200
300
400
500
600
700
800
218181
282
442405
485
401
545574
666720
Positve Tests for Opiates
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Opiate Patients Treated
2011 2012 20130
100
200
300
400
500
600
700
418452
633
Porter-Starke Opiods 2011-2013
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PRH E.R. Opioid Admissions
2011 2012 2013155
160
165
170
175
180
185
190
183
165
185
Porter Regional Hospital Opioids 2011-2013
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Opioids by Age
<17 18-25 26-34 35-44 45-55 55+0
50100150200250300350400450500
10
278
443
216
99
38
Porter-Starke Opioids by Age Opioids 2011-2013 Combined
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Total Number of Opioids Prescribed --1991-2013
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HIDTA Chronic Addicts
2007 2008 2009 2010 2011
0
50
100
150
200
250
300
350
400
Porter CountyLake County
Porter CountyLake County
360 % In-crease
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Heroin-Related Deaths in Porter County 2003-2013
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130
2
4
6
8
10
12
14
16
18
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Potential Naloxone Opportunities
2008 2009 2010 2011 2012 2013 201405
101520253035404550
Opioid Related Deaths
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Common Opioids Codeine
Demerol
Vicodin
Oxycontin
Hydrocodone
Lorcet
Methadone Used as a Medication-
Assisted Treatment Porter-Starke uses liquid
methadone Can be abused
Morphine
Opium
Heroin
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Common Opioids
Natural
Morphine Codeine
Semi-synthetic Fully synthetic
Heroin Oxycodone
Fentanyl Methadone
Buprenorphine
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Symptoms of Opioid Overdose
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
Caused by insufficient oxygen in the blood Can’t be woken or can’t speak, even after:
shaken or sternal rub
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Environmental Signs of Opioid Use
Spoons
Needles
Tourniquet
Lighter
Balloons or baggies
Pill Bottles
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• Each Narcan has a expiration date on the end of box
• None of the contents are sharp
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Naloxone Facts This is NOT Pulp Fiction
You won’t be stabbing anyone in the heart Usually works in about 3 minutes Lasts 30 to 90 minutes
Opioids can last longer than Naloxone Won’t eliminate the opioid from the system
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Administration of Naloxone• Patient should be unresponsive first and foremost
• If no pulse and no breathing Start CPR
• If pulse and no or slow breathing Use Naloxone
• Open kit and assemble
• Place firmly against right nostril and spray half
• Place against left nostril and spray remainder
• Provide Rescue Breathing, as needed
• If it works usually patient will moan, increase breathing or become combative with in 1- 5 minutes
• Advise changes and updates to Medics
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Recovery position
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Porter County Sheriff’s Department Policy-- Highlights Civil Immunity
If you follow the protocol in good faith, you will be protected from civil law suits (by state law)
Reporting Use or loss Expiration
Kit Storage Don’t store kit in extreme temperatures
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