opioid rescue kits for porter county sheriff’s department

Opioid Rescue Kits for Porter County Sheriff’s Department

2

The Opioid Problem

Lethal Drug dose is the leading cause of accidental death in America

41,502 drug overdose deaths in 2012 39% caused by opioids

Lethal Drug doses have quadrupled in Indiana since 1991

12/7/2014www.overdose-lifeline.org

3

The Opioid Problem

Opioids include legal prescriptions and illegal drugs Prescription Diversion Heroin

Porter County is a HIDTA since 2011


www.overdose-lifeline.org 4

The Opioid Problem

Paths to Prescription Drug Addiction

39 year-old with back pain

17 year-old riffling through their friend’s grandma’s medicine cabinet

Star DE getting some “safe” meds from a buddy to make the next game

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The Opioid Problem

Paths to Heroin Addiction Prescription Drug Addiction

Limiting supply of prescription opioids didn’t solve the problem of addiction

Girls/women: introduced to Heroin by a boy/man

Lower cost, higher purity


The Opioid Lethal Dose Forgets to Breathe

Central Nervous System depression

Opioid overdoses is rarely instantaneous Most deaths occur between one to three hours after

taking the opioid

Someone “found dead with a needle in their arm” uncommon, but happens, especially when using opioids + others substances

12/7/2014


How do opioids affect breathing?

Opioid Receptors, brain

Opioid

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How does naloxone affect overdose?

Neutralizes opioid’s effect on receptors

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Why Use Naloxone? No Euphoric effect

Safe Even if a person isn’t overdosing on an opioid Similar to: CPR, AEDs, EpiPens Proven track record From 1996-2010:

53,032 people trained 10,171 people saved

Saves Money

A life saved can be a life restored12/7/2014


Myths: Why Not Use Naloxone?

If those with substance use disorder know that Naloxone can save their life, they will abuse more drugs

Naloxone will keep people from seeking treatment

People can be violent after receiving Naloxone

12/7/2014


Positive Tests for OpiatesPorter Country Adult Population 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

100

200

300

400

500

600

700

800

218181

282

442405

485

401

545574

666720

Positve Tests for Opiates

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Opiate Patients Treated

2011 2012 20130

100

200

300

400

500

600

700

418452

633

Porter-Starke Opiods 2011-2013

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PRH E.R. Opioid Admissions

2011 2012 2013155

160

165

170

175

180

185

190

183

165

185

Porter Regional Hospital Opioids 2011-2013

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Opioids by Age

<17 18-25 26-34 35-44 45-55 55+0

50100150200250300350400450500

10

278

443

216

99

38

Porter-Starke Opioids by Age Opioids 2011-2013 Combined

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Total Number of Opioids Prescribed --1991-2013

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HIDTA Chronic Addicts

2007 2008 2009 2010 2011

0

50

100

150

200

250

300

350

400

Porter CountyLake County

Porter CountyLake County

360 % In-crease

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Heroin-Related Deaths in Porter County 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

2

4

6

8

10

12

14

16

18

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Potential Naloxone Opportunities

2008 2009 2010 2011 2012 2013 201405

101520253035404550

Opioid Related Deaths

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Common Opioids Codeine

Demerol

Vicodin

Oxycontin

Hydrocodone

Lorcet

Methadone Used as a Medication-

Assisted Treatment Porter-Starke uses liquid

methadone Can be abused

Morphine

Opium

Heroin

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Common Opioids

Natural

Morphine Codeine

Semi-synthetic Fully synthetic

Heroin Oxycodone

Fentanyl Methadone

Buprenorphine

12/7/2014

http://z.about.com/d/headaches/1/0/R/i/ActiqIG.jpg


Symptoms of Opioid Overdose

Decreased level of consciousness Pinpoint pupils Gurgling or choking noises Body is Limp Breathing slows or stops Heart rate slows or stops Blue lips and nails

Caused by insufficient oxygen in the blood Can’t be woken or can’t speak, even after:

shaken or sternal rub

12/7/2014

Environmental Signs of Opioid Use

Spoons

Needles

Tourniquet

Lighter

Balloons or baggies

Pill Bottles


22


• Each Narcan has a expiration date on the end of box

• None of the contents are sharp

12/7/2014


Naloxone Facts This is NOT Pulp Fiction

You won’t be stabbing anyone in the heart Usually works in about 3 minutes Lasts 30 to 90 minutes

Opioids can last longer than Naloxone Won’t eliminate the opioid from the system

12/7/2014

www.overdose-lifeline.org 25 12/7/2014


Administration of Naloxone• Patient should be unresponsive first and foremost

• If no pulse and no breathing Start CPR

• If pulse and no or slow breathing Use Naloxone

• Open kit and assemble

• Place firmly against right nostril and spray half

• Place against left nostril and spray remainder

• Provide Rescue Breathing, as needed

• If it works usually patient will moan, increase breathing or become combative with in 1- 5 minutes

• Advise changes and updates to Medics

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Recovery position

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Porter County Sheriff’s Department Policy-- Highlights Civil Immunity

If you follow the protocol in good faith, you will be protected from civil law suits (by state law)

Reporting Use or loss Expiration

Kit Storage Don’t store kit in extreme temperatures

12/7/2014

opioid rescue kits for porter county sheriff’s department

Documents

opioid problem opioids

opioid receptors

opioid admissions

brain opioid

opioid problem paths

opioids effect

opioid lethal dose

use naloxone