EMS World

DEC 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | DECEMBER 2018 53 INCIDENT RESPONSE Treating a possible opioid overdose with- out Narcan was deeply troubling to both veteran paramedics. Songer and Oscarson want to see Narcan made available wher- ever it might be needed—which these days means virtually everywhere. They want to get people talking about incidents such as this and what can be done to keep them from happening again. "This is a conversation we should be having at the national level," says Oscar- son. "We are seeing an increasing number of opioid overdoses in all kinds of places, including airplanes. So we need to be pre- pared to treat these overdoses wherever they occur—and that means having Narcan widely available in such places." The Industry's Response EMS World reached out to Delta to get its side of the story. A spokesperson said the airline was aware of the incident and the lack of Narcan on its flight. The spokesper- son added that Delta is planning to include Narcan in its aircraft first-aid kits. In fact, it started adding the drug during the third quarter of 2018 and will increase efforts "in earnest" before the end of 2018. EMS World sent e-mails to American Airlines, JetBlue, and United Airlines, ask- ing each of them if they would be add- ing Narcan to their onboard medical kits. An unnamed spokesperson at American answered, "While we currently don't have Narcan/naxolone in our first-aid kits, we are working with our medical team and plan to add it in the near future." JetBlue and United did not respond. We also received a reply from Airlines for America (A4A), a U.S. airline trade and lobbying group previously known as the Air Transport Association of America. An A4A spokesperson noted that while there is no specific FAA requirement for Narcan to be included in commercial aircraft first-aid kits, many airlines are already carrying it or "actively reviewing the addition of this medicine on board." That American and Delta and possibly others are adding Narcan to their first-aid kits is a good start. One can only hope that this effort will be completed before another apparent opioid overdose occurs at 30,000 feet—especially if there aren't medical personnel on board to deal with the consequences. ABOUT THE AUTHOR James Careless is a freelance writer and regular contributor to EMS World. MORE ONLINE! "Sterile cockpit" is a mandatory aviation procedure for all U.S. airlines. Should EMS adopt it? www.emsworld.com/article/219018 Treat Proximal Third, Mid Shaft Fractures and More Find out more about Sager Splints models and application at www.sagersplints.com Email MINTORD@aol.com / Call 800-642-6468 for the name of Your Authorized Sager Distributor One Person Application Sager Splints immobilize long bone fractures of the leg, providing optimal and secure immobilization. h Sager Splints can be used to immobilize fractures of the Tibia & Fibula h Traction can be applied to proximal third & Mid Shaft Fractures of the Femur Use the Sager Traction Scale to set the amount of traction needed – Sager Splints do the rest. The Sager's dynamic function permits traction to decrease automatically as the muscle spasm releases. Your Patient will always have the correct amount of safe, secure traction.

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