Staying Alive ProgramStaying Alive ProgramOverdose PreventionOverdose Prevention

Facilitator

Nathan Fields

The Harm Reduction ApproachThe Harm Reduction Approach

This approach is about giving people options to reduce harm that drug use causes. With this philosophy, we believe that any positive change that you are willing to make is important. It is also about accepting people wherever they are with their drug use and giving them options to reduce harm to themselves and others

Group RulesGroup Rules

Confidentiality (privacy)RespectBe Able to Participate-Managing Drug UseOpen MindNo Violence or WeaponsRespect the facility we are utilizing

What are someWhat are someRISK FACTORS RISK FACTORS

for overdose?for overdose?

Low ToleranceLow Tolerance

DoseDose

Mixing DrugsMixing Drugs

What are some What are some SYMPTOMSSYMPTOMS

of cocaine of cocaine overdose?overdose?

Symptoms of Cocaine OverdoseSymptoms of Cocaine Overdose

Rapid/quick breathing Pain in the chest and rapid heartbeat Weakness on one side of their body Excessive sweating, and Sensations of crawling skin NARCAN DOES NOT REVERESE A COCAINE

OVERDOSE

What are some signs of anWhat are some signs of anOPIATE OVERDOSEOPIATE OVERDOSE

Signs of an opiate overdose?Signs of an opiate overdose?

UnconsciousnessSlowed or stopped breathing Falling out Blue lips, skin, or nailsSlow or faint pulse Blurred visionExcessive drooling

Comparison of Some OpiatesComparison of Some Opiates

Drug Duration

Methadone 24 hr

Heroin 6 – 8 hr

Oxycontin 3 – 6 hr

Codeine 3 – 4 hr

Demerol 2 – 4 hr

Morphine 3 – 6 hr

What are someWhat are someSTREET REMEDIESSTREET REMEDIES

for treating an for treating an overdosed victim?overdosed victim?

Myths and consequences of street Myths and consequences of street remedies for treating an remedies for treating an

overdose victimoverdose victim

Street Remedy Medical Consequence

Using ice Too much can lead to hypothermia

Putting in the shower or tub Victim could drown

Injecting with salt water Hypertension

Hitting, slapping Bruises, broken bones

Burning fingertips Severe burns and amputation

Overdose PreventionOverdose Prevention“take it easy”“take it easy”

Control your highDo not mix drugsFrom being clean and return to drug usePartner upOverdose Plan

ABSTINENCEABSTINENCE(not using)(not using)

Responding to an opiate Responding to an opiate overdose overdose

R.A.C.E.

RR

Rouse and stimulate

AA

Air Way (Look, Listen, Feel)

CC

Call 911

EE

Enter Narcan

Locate injection site and cleanLocate injection site and clean

Draw Narcan into Draw Narcan into Intra muscular syringeIntra muscular syringe

Inject the NarcanInject the Narcan

FOLLOW THROUGHFOLLOW THROUGH

Remove the needleApply pressure and massageWatch and WaitContinue Rescue BreathingDispose of Syringe

RESCUERESCUEBREATHINGBREATHING

Staying Alive ProgramStaying Alive ProgramOverdose PreventionOverdose Prevention

CONTACT INFORMATION:

Nathan Fields

Baltimore City Health Dept.

Health Educator II Prostate Cancer

nathan.fields@baltimorecity.gov

1001 E. Fayette St.

Cell 443.615.5891

Office 410.396.1408

Fax 410.396.8457