This is an important new trial for EMS clinicians, emergency and critical care physicians, hospitalists, and toxicologists.
@resusone, @JMPerroneMD, and I wrote an editorial telling you what you need to know:
https://t.co/9K0XJdZ6mM
Things We Do for No Reason™: Avoiding methadone for opioid withdrawal - Martin - 2023 - Journal of Hospital Medicine - Wiley Online Library https://t.co/jXuQxwVq4b
So wonderful to be honored by my professional group today. Must inspire others to educate our pt.s/communities to be ready to respond with the antidote & BLS. Fentanyl is out there… @Asally@JMPerroneMD@ASALifeline@juliedees
Xylazine Adulteration of the Heroin–Fentanyl Drug Supply: A Narrative Review: Annals of Internal Medicine: Vol 0, No 0 @JMPerroneMD@LNelsonMD@HarozR and Rachel Wightman. https://t.co/omaghdaXFk
When asked “Who here is carrying Narcan?” Luis Seija, MD clearly showed that he carries it!! Great to brainstorm with Dr. Jerome Adams, and other like-minded professionals today at Penn.@PennMedicine @PennAnesthesia @JMPerroneMD @_earth2brittany
@JMPerroneMD Great Op-Ed today in Inquirer. We need more voices like yours intelligently advocating for Supervised Injection Sites.
I was one of the original developers of NET in 1970. It was the first residential Drug Treatment Center in Philadelphia at the time. I
Important toxicology meeting w many former @UPennEM grads. @JLoveMD presents #xylazine detection in opioid overdoses. Xylazine detected in 20% of opioid overdoses in a national sample.
NEW study in @JAM_ASAM reveals insights from Reddit users about #xylazine in street drugs: Many describe it as an unwanted addition causing prolonged sedation & withdrawal, particularly in the northeastern U.S.
Read more by LDI Fellow @JMPerroneMD et al:
https://t.co/8ALeZH9daw
The powerful animal tranquilizer, xylazine, is being detected more often in the illegal drug supply, but it's fentanyl that's killing opioid users, experts warn. @JMPerroneMD discusses the drug and its effect on patients with opioid use disorder. @NBCNews https://t.co/2aQ78lsysy
The problem is that the people who want treatment often cannot find it, afford it, get to it easily, and fit it into their lives. Sometimes they will need multiple shots at it.
Meanwhile, people who need food, housing, sleep, and community are told they need treatment first.
Must be careful with our messaging to public. Xylazine is almost always present with fentanyl. OD should still be tx with naloxone. Enough reversal of opioid likely enough to restore breathing & consciousness. Give Narcan.@DrGupta46 @JMPerroneMD@PennAnesthesia@PennMedicine
Naloxone is short acting. That’s a good thing. Withdrawal will pass quickly.
When naloxone wears off, we can give more if we need to.
I have been treating opioid overdoses for nearly two decades, and I have never, ever thought we needed a long-acting reversal agent.