EMS Protocol of the Week - Overdose (Adult and Pediatric)

In last year’s version of the protocols, the main place to find guidance regarding naloxone administration was in the protocol for Altered Mental Status. This year, naloxone is given its own spot to shine in a broader protocol for various types of overdose. Bear in mind as read through the protocol top down that, when indicated, patients may receive up to 4mg of naloxone IN as well as up to 4mg naloxone IV prior to arrival – important information to have when taking EMS report. Another interesting addition to this protocol for 2022 are Medical Control Options for diphenhydramine, sodium bicarbonate, and a variety of benzodiazepines – to be used for dystonic reactions, TCA overdoses, and sympathomimetic overdoses, respectively – so don’t be caught off guard if the OLMC phone rings with a request for one of those.

Cool stuff – better organization, extended spectrum of meds, what more could you want? www.nycremsco.org or the protocol to see what else we have in store!

Dave