Discover and read the best of Twitter Threads about #overdose

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I debated sharing but decided there are important lessons within. Yesterday, I came face-to-face w/ the #overdose epidemic. Shortish story... I was one of the first people on the scene of two 40-ish men slumped over in their work van that was stopped on the hwy.
Alone with kids in the car, I was waved down by a panicked commuter. I stopped & was joined by two other men. Both driver & passenger were unresponsive. Driver had shallow breathing but passenger had no pulse or respiration. We pulled him out of the car & I started 2-person CPR.
It was evident they had overdosed. While I keep a trauma/GSW kit in the car, I do not carry #Naloxone. So all we could do is continue CPR (about 6 cycles) before EMTs arrived, at which point he had a weak radial pulse. Shaken, I shook hands & went on my way. So lessons/thoughts:
Read 9 tweets
Thanks for the call @bctoday appreciate the time to talk about the @BCCSU report on "Strategies to Strengthen the Recovery System in BC." An overall review is long overdue, given the situation - #overdose #bcpoli #harmreduction
and there is much to be encouraged by in the report. Dr. Wood states clearly that recovery is a process, by definition long-term, so more is needed beyond harm reduction and acute care. bccsu.ca/news-release/n…
This is the bit that troubles me. I read the report closely and remember seeing a very early version of it well over a year ago. It's about "Therapeutic Communities":
Read 16 tweets
Hmmm. “Surprising #VA Data About Opioid Discontinuation, #Overdose and #Suicide: Clinical Implications” Abstract is sobering. This may challenge some policy initiatives regarding #opioids. Can’t wait to see the presentation! vendome.swoogo.com/2018-rx-summit…
“Due to these concerns, the Veterans Affairs (VA) conducted analyses of national data:
1. In fiscal year 2013, patients prescribed less than 90 morphine equivalent daily dose accounted for 95.8% of the sample & 85.7% of overdose/suicide-related deaths
2. In two sets of fiscal years — 2010-2011 and 2013-2014 — opioid discontinuation was NOT associated with overdose mortality but was associated with INCREASED suicide mortality.
Read 5 tweets

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