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Evan Gross Poster

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Males N=887 73% Female s N=334 27% Total 1221 100% New Jersey Basic Life Support Emergency Medical Services Naloxone Analysis Evan Gross, Intern Dr. Terry Clancy, Preceptor New Jersey Department of Health, OEMS 72% 20% 8% Statewide Patient Responses to Naloxone Administration Patient response 72%, n=878; (i.e., alert, oriented, confused, vomiting, combative) No patient response (20%, n=241) Unknown or other (8%, To analyze the Naloxone (Narcan®) Basic Life Support (BLS) program data for New Jersey and make policy recommendations to improve pre-hospital response to opioid overdoses. Photo obtained from http://bit.ly/1eSxqf8 Opioid abuse has increased nationally and in New Jersey over the past two decades. Overdose Prevention Act authorized Emergency Medical Technicians (EMTs) to administer Naloxone. Naloxone administration data in New Jersey has been collected, not analyzed thus far. Purpose A special thank you to Dr. Terry Clancy, Internship Preceptor, Ann Marie Hill, Internship Coordinator, and the Office of Emergency Medical Services staff for their guidance. Variables identified can be further analyzed to identify gaps in Naloxone administration, MAR reporting, and treatment strategies. Analysis provides OEMS with target populations to enhance treatment and prevention initiatives to improve the public health response to the opioid epidemic. Evaluation Acknowledgements Significance Method/Approach 1,221 MARs remained Analyzed to evaluate trends in Naloxone administration 152 MARs removed - do not fit criteria (i.e., practice MARs, unregistered police & fire agencies, & administrations that deviated from protocol) Retrospective review of 1,373 NJ BLS Naloxone Medication Administration Reports (MARs) (April 2014-December 2015) #1 Camden #2 Ocean #3 Hudson 0 50 100 150 200 250 300 350 400 450 398 129 128 NJ counties with greatest # of administrations Apr 2014 – Dec 2015 County # of Administrations Statewide age groups with greatest # of Naloxone administrations #1: 20-29 years of age 453 (37.1% of administrations) #2: 30-39 years of age 330 (27.0% of administrations) #3: 40-49 years of age 205 (16.8% of administrations) Outcomes
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Page 1: Evan Gross Poster

MalesN=887

73%

FemalesN=334

27%

Total 1221100%

New Jersey Basic Life Support Emergency Medical Services Naloxone Analysis

Evan Gross, Intern Dr. Terry Clancy, Preceptor

New Jersey Department of Health, OEMS

72%

20%

8%

Statewide Patient Responses to Naloxone Administration

• Patient response 72%, n=878; (i.e., alert, oriented, confused, vomiting, combative)

• No patient response (20%, n=241)

• Unknown or other (8%, n=102)

• To analyze the Naloxone (Narcan®) Basic Life Support (BLS) program data for New Jersey and make policy recommendations to improve pre-hospital response to opioid overdoses.

Photo obtained from http://bit.ly/1eSxqf8

• Opioid abuse has increased nationally and in New Jersey over the past two decades.

• Overdose Prevention Act authorized Emergency Medical Technicians (EMTs) to administer Naloxone.

• Naloxone administration data in New Jersey has been collected, not analyzed thus far.

Purpose

• A special thank you to Dr. Terry Clancy, Internship Preceptor, Ann Marie Hill, Internship Coordinator, and the Office of Emergency Medical Services staff for their guidance.

• Variables identified can be further analyzed to identify gaps in Naloxone administration, MAR reporting, and treatment strategies.

• Analysis provides OEMS with target populations to enhance treatment and prevention initiatives to improve the public health response to the opioid epidemic.

Evaluation

Acknowledgements

Significance

Method/Approach

1,221 MARs remainedAnalyzed to evaluate trends in Naloxone

administration

152 MARs removed - do not fit criteria(i.e., practice MARs, unregistered police & fire

agencies, & administrations that deviated from protocol)

Retrospective review of 1,373 NJ BLS Naloxone Medication Administration Reports (MARs)

(April 2014-December 2015)

#1 Camden #2 Ocean #3 Hudson0

50

100

150

200

250

300

350

400

450

398

129 128

NJ counties with greatest # of administrations

Apr 2014 – Dec 2015

County

# of

Adm

inis

trati

ons

Statewide age groups with greatest # of Naloxone administrations

#1: 20-29 years of age 453 (37.1% of administrations)

#2: 30-39 years of age330 (27.0% of administrations)

#3: 40-49 years of age205 (16.8% of administrations)

Outcomes

Recommended