Buprenorphine Field Initiation of ReScue Treatment by Emergency Medical Services (Bupe FIRST EMS): A Case Series.
Citations
93 citations
Cites background from "Buprenorphine Field Initiation of R..."
...Novel strategies, such as equipping paramedics to provide buprenorphine in the fi eld after an overdose, are currently being piloted and studied [92]....
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Cites background from "Buprenorphine Field Initiation of R..."
...When giving patients naloxone upon discharge is done in the context of a take-home-Naloxone program the number of opioidbased overdoses is significantly reduced.(35) This harm reduction intervention may be life-saving not only for the patient at risk of opioid overdose but also for acquaintances of the patient—in one survey study, 53% of ED patients with OUD had witnessed another person overdosing....
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...Some interventions to ameliorate these barriers have been described: one program trained first responders to administer buprenorphine in the community.(35) Table 4 summarizes barriers to implementation of ED-based buprenorphine induction....
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...This novel two-step induction suggests that immediate administration of buprenorphine after naloxone is a safe and of value for emergency medical service clinicians.(35) In summary, an initial dose of 4 mg appears to be welltolerated and effective for starting patients on buprenorphine therapy for OUD; an additional 4–8 mg may be administered if the patient continues to experience withdrawal symptoms...
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