dhec bureau of ems daodas - masc · drug overdose is currently the leading cause of accidental...
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DHEC Bureau of EMS DAODAS
The LEON's goal is to provide a comprehensivetraining to law enforcement agencies acrossSouth Carolina that focuses on
The identification The treatment The reporting
of drug overdoses attributed to opiates/opioids, such as heroin and narcotic pharmaceutical drugs (Scheduled II).
The program was created pursuant to the 2015 passing of the South Carolina Overdose Prevention Act (S.C. Code Section 44-130-60).
The Act seeks to grant immunity from both civil and criminal prosecution, to doctors, pharmacists, caregivers, and first responders, who are engaged in the prescription, dispensation and administration of Naloxone (Narcan) in an opioid-overdose suspected case.
Drug overdose is currently the leading cause of accidental death in the U.S., with 62,497* lethal drug overdoses in 2016 or an average of one life every 8½ minutes.
In 2016 there were 5.2 million opioid prescriptions dispensed in South Carolina (population 4,961,119).
In 2016 there were 366** murders in South Carolina but 616*** opioid deaths.
Prescription & Opioid Abuse
* New York Times, 6/5/2017** FBI Annual Crime Report, 10/18/2017
*** DHEC Vital Statistics
2016 Opioid Related Deaths
616 Opioid Deaths
366 Murders
4,610 people
Per 100,000 peoplePickens 200Horry 165Greenville 144Spartanburg 105Anderson 97Charleston 67Richland 36
Yearly Narcan Usage by EMS
132243 709
188
311 168
167147
509
262
117
117
132
94
109
103
Yearly Narcan Usage by EMS
6,427 people
Per 100,000 peopleHorry 342Pickens 274Greenville 160Spartanburg 160Anderson 142Charleston 119Richland 62
South Carolina EMSNarcan Administration – 2016
111 and Above
81 to 110
51 to 80
Less than 50
1,043
To date 12% increase over 2016
S.C. EMS Usage of Narcan in 2017
7,278 administrations
For many reasons, EMS is usually not the first emergency responder of the scene of medical emergencies.
Average current response time for EMS to all 9-1-1 calls in S.C. is 11:9 minutes (2016 – 675,514 calls)
Average response time for FD’s running medical first response 6:41 minutes (2016 – 40,775 calls)
Average law enforcement response is usually 3-5 minutes depending on setting (rural / urban / suburban).
WHY LEO: Comparative Response Times
To date LEON has trained 4,351 officers in 140 agencies in 34counties with 214 deployments and 191 lives saved.
The program offers for free the training, the online reporting portal, access to DHEC pharmacies, statewide standing orders by a physician to carry and administer the Narcan.
LEON was awarded a federal SAMHSA grant to continue the program and to purchase Narcan for the program
Unless a LEO agency chooses another Narcan product from the one we provide, there is no other cost
Your next steps: Memo of Agreement (MOA), scheduling 2 hours for training, and officer list with SC CJA numbers
Addressing the Problem in South Carolina
LEON program emphasizes Tactics and Safety: there may be situations where it may not be safe to use Narcan. It is 100% up to the individual officer’s discretion.
Because of the high potency of the illicit fentanyl and opioid analogues, we recommend officers to carry Narcan to save fellow officers who inadvertently come in contact or inhale the powdered forms.
The dosage and route given by LEON is enough to keep an overdosed person breathing and alive.
None of the 214 deployments to date have resulted in a problem. Data from other states concur.
Addressing Officer Safety
Narcan can also save a canine officer’s life: powdered opioids like fentanyl and carfentanil can be inhaled by them as well as absorbed through the pads on their feet.
Addressing Officer Safety
Legal Stuff: S.C. 44-130-60
(A) A first responder may administer an opioid antidote in an emergency if the first responder believes in good faiththat the person is experiencing an opioid overdose.
S.C. Overdose Prevention Act of 2015
Legal Stuff: S.C. 44-130-60
(B) The first responder must comply with all applicable requirements for possession, administration, and disposal of the opioid antidote and administration device. The Department (DHEC) may promulgate regulations to implement this section, including appropriate training for first responders who carry or have access to an opioid antidote.
S.C. Overdose Prevention Act of 2015
Legal Stuff: S.C. 44-130-60
(C) A first responder who administers an opioid antidote in accordance with the provisions of this section to a person whom the first responder believes in good faith is experiencing an opioid overdose is not by an act or omission subject to civil or criminalliability or to professional disciplinary action.
S.C. Overdose Prevention Act of 2015
Questions?Arnold Alier
EMS Division DirectorDHEC Bureau of EMS
Joseph Y. ShenkarLegal CounselSC DAODAS
Kenny PolsonNarcan Coordinator
DHEC Bureau of EMS [email protected]
803-429-9636
South Carolina
https://www.facebook.com/SCLEONprogram