Showing posts with label heroin. Show all posts
Showing posts with label heroin. Show all posts

Sunday, March 13, 2016

Herion laced with Xylazine

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Attached is information that the HVREMS put out last Friday; forwarded to them by the Susquehanna Regional office. I did a quick look online and this does not seem to be a new issue, but it may be new to our area.

Naloxone would still be effective in reversing the Opioid, but the patient may remain in respiratory depression / arrest from the Xylazine.  Management for this would be to support ventilations. There is a higher incident of cardiac arrest due to Xylazine negative chronotropic effect and a decrease in cardiac contractility.    If anyone has any experience with managing this type of patient please let me know.

Click on  the link below for more information:

Link to article

Thanks,
 
Frank
 
 

Tuesday, April 21, 2015

Predator Heroin - Pittsburgh Heroin OD Epidemic -






There is another batch of super potent heroin hitting the streets again. It is going by the street name of Predator, with a shark image on the bag. Other bags stamped with "Chocolate" and “Chicken / Waffle" have also been found at OD scenes. This Heroin appears to be laced with another unknown substance (probably another Opiate) that is adding to its potency. This is causing the patients to go into respiratory arrest quicker and not leaving enough time for rescuers to arrive and administer Narcan. . While Narcan is still effective in treating these patients; the deaths have been attributed to the rapid onset of unconsciousness and respiratory depression / arrest. See the rest of the article below.



Two people are dead in the largest wave of heroin overdoses in the Pittsburgh area since a fentanyl-laced batch killed almost two dozen in 2014, officials said.

Ten people survived when paramedics administered Narcan, a drug that reverses the opioid's deadly effects, police Cmdr. RaShall Brackney said Wednesday. The dozen overdoses were reported between Tuesday morning and Wednesday afternoon, most on the South Side and in neighborhoods on the West End, Brackney said.

“This huge spike in the last 24 hours is causing us extreme concern,” Brackney said.

Patrick Byrnes, 38, of Beechview and James Nardozi, 31, of Dormont died Tuesday of suspected overdoses. The official cause of death for the men is pending, Allegheny County spokeswoman Amie Downs said, but added that Dr. Karl Williams, the county medical examiner, indicated they appear to be heroin-related. Relatives for Byrnes and Nardozi declined to comment.

Police found bags stamped with the word “predator” and the image of a shark at the scene of several overdoses, police Cmdr. Larry Scirotto said.

A bag found by Byrnes was stamped “Chocolate,” while a bag found near Nardozi had the stamp, “Chicken/Waffle,” according to Downs.

The Allegheny County Crime Lab is analyzing the stamp bags.
It appears the heroin came from the same distributor, but, “It's hard to predict if this is more potent or if it's laced with something else,” Scirotto said.

Asked if the dealer who sold the heroin could face homicide charges, Mike Manko, spokesman for Allegheny County District Attorney Stephen A. Zappala Jr., said, “I would not speculate on something in which we don't know all of the facts.”

Officials say the latest rash constitutes the largest number of drug overdoses since a batch of fentanyl-laced heroin killed nearly two dozen people in Western Pennsylvania in January 2014. Investigators are looking for the original source of the heroin-fentanyl combo, a spokeswoman for the U.S. Attorney's Office said. Fentanyl is a synthetic opioid.

U.S. Attorney David Hickton announced last month that a federal grand jury indicted 14 people in connection with a drug ring that was made public in October. That brought to 54 the number of indictments in that investigation, much of it involving heroin.

Brackney said paramedics carry Narcan to treat suspected opioid overdose victims. Pittsburgh EMS Chief Mark Bocian has said city paramedics have carried Narcan for at least 20 years.

There has been talk of equipping city police officers, Bocian has said. No one with the Pittsburgh Bureau of Police would comment Wednesday.

Westmoreland County Sheriff's deputies began carrying Narcan last year; state police troopers will carry it soon.

Narcan wipes opioid molecules from brain receptors to send users into sudden withdrawal. It costs about $20 per dose.

When Narcan first came out, it had to be injected with a syringe. But now it is available as a nasal spray, which makes it easier for law enforcement or family members to administer, said Dr. Neil Capretto, medical director at Gateway Rehabilitation Center.





Friday, June 13, 2014

INTRANASAL NALOXONE: A NEW WEAPON IN THE BLS ARSENAL - FDNY Journal









 


INTRANASAL NALOXONE: A NEW WEAPON IN THE BLS ARSENAL

Opioids are very effective medicines that are often prescribed for pain control. Consequently, they also have a high potential for abuse. According to the National Institute of Health, some of the most
commonly abused prescription drugs are codeine, morphine, methadone, and fentanyl. Overdoses
may occur unintentionally (e.g., a person took extra prescribed pill because she forgot she already had
taken one) or purposefully in an attempt to ‘get high’ or to attempt suicide. Since 1990, deaths related to opioid overdoses have more than tripled. 100 people die from drug overdoses every day in the United States. This opiate abuse epidemic has garnered much attention; and the public has demanded a response. For over 20 years, paramedics in New York City have been able to successfully treat and reverse the effect of opioids using naloxone. In the past three years, EMTs from other regions of New York State and other members of the public have received training in the administration of the opiate antidote naloxone. This journal will discuss how opiates work, the physiologic changes associated with opiates, how to assess and manage patients with suspected opiate overdose, and finally, we will discuss considerations when it comes to special populations and concerns when it comes to administering naloxone.

For the rest of the article click here: 



FDNY Naloxone Journal.pdf