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"NEVER give someone on chronic opiates 2mg of IV narcan, NEVER." GREAT ADVICE! In my 24 years as a Paramedic, I've made a few mistakes ... This is one of the errors that I share most frequently with my new medics in training. I once ran a Pt with cancer, he was on a boat load of opiates, for obvious reasons. We were called to a Pt not breathing, and as a brand new medic I was there to save the day - uh, I mean Pt. The Pt actually was breathing, just not very often. So I loaded up my 2mg of narcan and pushed away. Not only did he start breathing at a normal rate, but I listened to him scream for the entire 40 minute transport. A terrible mistake that I've never repeated, and pray nobody else has to endure (Pt nor medic). Great thread, for everyone to learn from... Sent from my thing...

There are some who's horns hold up our halos..