How to administer Narcan
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- Опубликовано: 5 окт 2023
- This video does not provide medical advice. It is intended for informational purposes only. It is not a substitute for medical advice, diagnosis or treatment. If you think you may have a medical emergency, immediately dial 911.
One month ago, Narcan became available over the counter without a prescription - here’s what you should know.
1. The suggested price is $44.99 and each box contains two doses
2. Narcan is a nasal spray version of naloxone, the opioid antidote credited with saving countless lives during the nation’s overdose crisis.
3. Naloxone reverses the effects of opioids in the brain, restoring slowed or halted breathing. Joshua J. Lynch, associate professor of emergency and addiction medicine at the University at Buffalo told us Narcan is not habit-forming - and is safe to use even in someone who has fallen unconscious but who turns out not to be overdosing on an opioid
Here is how you administer it:
* Roll the person on their back, start with yelling their name, and giving them a hard sternum rub if they do not respond - begin administering Narcan
* Each box has two dispensers, start with one which often is enough to revive someone, dont prime the device like you would an inhaler just -
* Stick the device all the way up one nostril and click the plunger, make sure the device is inserted fully, the medication will absorb through the sinuses
* Call 911 - provide rescue breathing if you can
* You can administer the second dose in the other nostril after 2 minutes if they are still non responsive
#narcan #naloxone 
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You glossed over an important part: *YOU HAVE TO GET THE OD VICTIM TO THE HOSPITAL RIGHT AWAY!*
Got that?
The thing is, Narcan only works temporarily. It's metabolized a lot faster than opioids. So it *WILL* wear off in a little while, and then the patient (who still has an OD-causing amount of opioid in his body) will go back to OD'ing.
When that happens, that patient needs to be in a hospital.
Don't confuse Narcan waking an OD patient up with the patient being okay. He's not okay - you've only bought him enough time to get to the hospital. So follow through.
I see you are educated.
I really hate when people who are not trainers make terrible mistakes. I made mistakes after just show how it works, before I became a trained trainer.
Washington Post likely didn’t want to pay someone who knew what they were doing.
Thank you
Idk. I feel that the call to 911 part of the video made that clear since you CANNOT call that number if there was no real emergency.
I'll be honest, I'm a little confused about your comment considering the video made it clear that you should call 911;
they presented this in such a way that anyone following the instructions would be calling 911 prior to seeing whether the person was waking up from the narcan.
@@GeorgeN-ATX
You're right, they did.
However, IMHO, it wasn't emphasized enough. In particular, the reason was not explained.
As a practical matter, when a friend or loved one starts to OD, people are likely either panic and forget this step; or (because illicit drugs) hesitate to call 911 and possibly get the cops involved.
Additionally, in the US, ambulance rides cost an arm and a leg - another reason to hesitate.
Also, some people are just knuckleheads.
Furthermore, "Call 911" is appended to so many first-aid instructions as a CYA that users of Narcan might not understand that getting the patient to a hospital is critical to his or her survival.
I am a certified NARCAN trainer, and do in ASL and English. You do not have it exactly correct here.
For one, if the person is collapsed on the floor when you find them, after giving the NARCAN, turn their body to the side (a diagram of the position will be on the box) to prevent them from inhaling their own puke. If they are sitting upright, you do not need to lay them down.
And you may want to step back after giving it as even if they know you, in a stupor they may swing at you.
Also, to start with, you should look for a person having shallow breathing, and slightly purple fingertips. Try to get their attention by speaking first, then touch them. If they cannot wake and speak, then use your KNUCKLES at the sternum, pushing on the breastbone as you go up and down vertically…that gentle rub you did flat handed is not correct. If they just are sleepy, this will rouse them to tell you go away, but if they still do not wake, now you CALL 911!
Right! You call 911 FIRST THEN give NARCAN.
Why?
Because while every second does count, often if they wake up before you call, they will angrily demand you do not call 911. If you leave them, they may have the affect of NARCAN wear off and go back into a coma and die. Yeah, it wears off, not a cure here…they need to go to hospital.
So call 911 and give the NARCAN to them as soon as you push that last 1. Tell the operator all they ask, including what you just gave to them, and they will instruct you what to do. NO, do not assume in 2 minutes you just give another dose. The operator at 911 will ask you to give another dose if they think it is needed before the ambulance arrives, usually if the person does not wake or if they fall back into unconsciousness after waking. You should have TWO boxes of NARCAN with you, because if they really overdosed you may use up to SIX doses, and each box contains two doses.
Never leave the person until the ambulance arrives and they say you can go.
I learned that NARCAN works on fentanyl, Morphine, OxyContin, Heroin, and basically any opioid.
However, it is not shown to cause any allergic reaction, is not a DRUG but an antidote so it is not addictive, it will not harm anybody if it is say Cocaine or Alcohol poisoning it just will not wake them (but with process of elimination could save time for the hospital to figure that out so you still may have saved them, and the expiration date on the box does not really apply as it still works almost 100% years later. Additionally, the box will say to keep it at a certain degrees, but it has been tested in Alaska winter and Down South summers, totally frozen or over 120 degrees, and after that it still worked nearly 100%.
So keep them in your office, your house, your truck glove compartment, and your backpack or purse. Because just like with CPR if you have it you may never need to use it, but if you never knew how and do not have it on you, you cannot save a life. Be a real superhero…grab some NARCAN if where you live it is free. In Washington State it is.
Thank you so much for these in depth inst
Thank you so much❤
+
Sternum rubs are done by firmly rubbing the knuckles of a fist against the breast plate of the chest. Its meant to be a bit painful, to get a response if the person can breath.
YOU are correct!
As I said to someone else’s comment, I think WAPO just wanted to save money on asking a trained trainer to do the short accurately and figured it was a no brainer, that they could figure it out.
That costs lives.
This is beautiful, thank you for doing this. We need to remove the stigma related to Narcan, OD-ing, and SUD, and these sorts of things constitute a huge step forward. Thank you
This is so so important. Addicts are still people who deserve to live. Something like Narcan should be in most first aid kits.
You do not have to be an addict to overdose.
If gramma is given an opioid pain reliever and takes too much it can happen to her too.
Fentanyl has been laced into pot as well in Florida where it is illegal, in order to get people addicted to it and buy more.
Do they really though? They're a drain on everything at some point ya gotta go
True
This isn't just for addicts at this point. So many party drugs are randomly laced with fentanyl that reckless kids are randomly ODing on opioids these days.
Total aside. That phone is freaking awesome!!
I am mad that Narcan is OTC, but Epipens are like $300 with insurance.
Epipens should not cost that much, and all states should change laws for that too.
However, more people are dying from fentanyl right now, it is an epidemic, even children are dying. That is why you see this push to make it free to save lives.
You can advocate for both. Don't knock other people's plights
You're a damn hero for this video. Thank you for posting this, more people should be informed about how this product works and how available it is. ❤
Great job getting information out to the world!
Always good to know
I did a triple take when i saw it at a walgreens. Glad to know its not me being crazy.
Good job
It's free here in Canada, such good public policy. Love the land line phone as a prop 😂
Is this for fentynal?
Yes, and other opioids as well.
Also keep diabetic insulin handy. Oh wait they dont count.
*Not a Short*
Don't get me wrong having a video like this is Informative
And great, but let's be honest. We as a society have gotten to the point of no return. The reason why I say that is because.
It's become an everyday Thing
With overdoses if videos like this have to be made and it's not getting any better Arguably it's getting worse.
There are peaks and valleys of drug use and overuse. Alcohol is much less of a problem now than it was 20 or 30 years ago. We will learn, adapt, and change as needed. This is a crisis, but not an existential one. There will be more, its not all over, but it's not the end either.
In the medical field, we call it junkie juice.
I have never heard this. What state are you in?
@@davidthedeaf Kensington, PA
pronouns in bio for sure
didn’t ask
Ok, and?
Who asked
sorry the truth hurts @@Stampyboyz
Wow, a PSA of the obvious. Who tf runs this department?
you realize how many people don't follow medical instructions or can't visually see the instructions well?
In an emergency or crisis, it’s way better to have this memorized than to try and fumble through the instructions and waste precious time or accidentally do something wrong.
Dummies should learn this stuff, too, my dude.
Middle school kids are getting hooked on opioids, and it's easier for youths to retain knowledge when there's a demo of application.
Opioid users
@@furby9284however, this person in the video did several things wrong. So..
Thanks toddlers at WP for more childish nonsense
How is this childish?