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What would you do?

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I hope that the medical director took it to the state and the medic lost their future in EMS. Personally, I also would have notified the police. Even Gitmo detainees aren't treated that bad.

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On one of my first calls, I slammed a guy with 2.0 of narcan. I didn't mean to... I put it slowly into the lock, then flushed fast. I know - dumb dumb dumb. I was new and out of my depth - thrown to the wolves fresh out of school. The patient was a male in his 50s with a combination narc OD and a lot of alcohol.

The mountain of puke that ensued just wouldn't stop. It bought the patient a tube in the ER and a doctor that took a strip off my hide.

I felt so terrible. I had caused that patient a horribly invasive procedure. (The outcome was good - he was extubated with no complications about 3 hours later.)

I never forgot it and learned my lesson about narcan.

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Every pt. is fine 30 minutes ago in a nursing home, hell that is a stretch even. Its always 5 minutes ago.

Titrate a dose of Narcan and go from there.

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