The Record Special Sections Health Quarterly 02-16-2020 | Page 19
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HEALTH QUARTERLY / ADVERTISING SECTION
Recognize Overdose, Respond and Carry Naloxone
E
very day nearly 200 people die from
an overdose of drugs or from alcohol
poisoning, with opioids responsible
for the majority. Recognizing the
signs and knowing how to respond to medi-
cal emergencies, including carrying and
administering naloxone in cases of opioid
overdose, can save lives, says the American
Society of Anesthesiologists (ASA).
“The tragic increase in overdose deaths
is an alarming and devastating issue that
touches so many of us,” said ASA President
Mary Dale Peterson, M.D., MSHCA, FACHE,
FASA. “If you can identify an overdose
or alcohol poisoning, you are more likely
to react quickly, making the difference
between life and death for a family mem-
ber, friend or stranger.”
Physician anesthesiologists have a
critical role in fighting against overdoses,
starting with managing patients’ pain after
surgery or chronic pain in responsible
ways. During Physician Anesthesiologists
Week, Jan. 26-Feb. 1, ASA joined forces
with U.S. Surgeon General VADM, Jerome
Adams, M.D., M.P.H., to empower everyone
to recognize the following signs of an over-
dose or alcohol poisoning:
n Shallow, slow or irregular breathing
(less than eight breaths a minute
or a gap of more than 10 seconds
between breaths)
n Extreme sleepiness or unconscious-
ness (e.g., “passed out”)
n Inability to talk
n Blue or gray skin color, with dark lips
and fingernails
n Snoring or gurgling sounds
n Confusion
n Vomiting
n Seizures
n Low body temperature
Any one of these signs should prompt
a call to 911 for emergency medical care.
Never leave an unconscious person alone,
as they may be at risk of dying, including
by choking on his or her own vomit. If
an opioid overdose is suspected, naloxone
should be administered immediately, if
available. Naloxone is administered by
injection or nasal spray, and access to it is
expanding on a state-by-state basis. It can
be prescribed by a physician and often is
carried by police officers and emergency
medical responders. Additionally, it’s
increasingly available over the counter at
some pharmacies.
“To stem the tide of the opioid overdose
Medical Emergency:
Act FAST at Stroke Onset
CONTINUED FROM PAGE 13
STROKE
If someone starts to slur their words
or is unable to speak and their facial expres-
sion changes, they may be having a stroke.
“When it comes to strokes, the mne-
monic FAST is an easy way to remember
signs of a stroke,” Dr. Lobaito said. “FAST
stands for ‘Facial droop, Arm drift, Speech
difficulties, and Time last seen normal’ and
can help individuals recognize stroke.”
Dr. Lobaito said other symptoms to look
out for include sudden changes in vision or
possibly even dizziness. Some people may
also have sudden trouble walking, loss of bal-
ance or coordination, and a severe headache
that comes on suddenly with no known cause.
As with any medical emergency, Dr.
Lobaito said to call 9-1-1 to get them to the
nearest emergency room.
YOU CAN ONLY HELP
If you witness someone having a heart
attack or stroke, or going into cardiac arrest,
know that you may well be that person’s
best chance of receiving critical care, start-
ing with when you call 9-1-1.
And, in the case of cardiac arrest,
your quick thinking and actions, whether
it be performing hands-only CPR or using
an AED, could mean the difference between
life or death.
Should you find
yourself panicking,
or fearing you may
make things worse,
know that both the
hands-only CPR
and AED are in-
valuable and, unlike
doing nothing, may
AMERICAN HEART make a lifesaving
ASSOCIATION difference.
“It can double, triple the chance of
survival and doing something is better than
doing nothing,” said Leary.
Dr. Lobaito agreed. He also recommended
taking a course to receive hands-on training
in these lifesaving skills.
“Taking first-aid classes can teach
individuals important skills, like CPR, since
both early defibrillation and early CPR give
victims the greatest chance of survival,”
he said.
be a first step to getting
someone onto the pathway
of recovery.”
Anyone who takes
opioids to manage their
pain may be at-risk for an
overdose. In recent years,
opioids were the go-to pain
reliever for everything from
backaches and injuries to
post-surgical and chronic
pain. In 2017, more than 190
million prescriptions were
written for opioids. While
they can be effective for
short-term pain, chronic use
can lead to abuse. Every day
PHOTO COURTESY OF BRANDPOINT
130 people die from opioid
epidemic, we need everyone to consider
overdoses, according to the Centers for
themselves a first responder. We need to
Disease Control and Prevention.
encourage everyone in our communities
“ASA strongly agrees with the Surgeon
to carry naloxone and know how to use it,”
General and supports policies that promote
said U.S. Surgeon General, VADM, Jerome
access to naloxone and safe and effective
M. Adams, M.D., M.P.H., a physician anesthe- pain management care,” said Dr. Peterson.
siologist who issued a Surgeon’s General’s
“All of our members have a significant
advisory in 2018 calling for increased
interest in reducing misuse, abuse and
awareness and use of the medication.
diversion of opioids that have led to unin-
“When on hand, naloxone may mean the
tended deaths.”
difference between life and death, and can
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