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Updated: Jun 1, 2025

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Starting a Prehospital Medication for Opioid Use Disorder Program.

David C Seaberg1, Jamie McKinnon2, Lyn Haselton1

  • 1Department of Emergency Medicine, Summa Health System, Northeast Ohio Medical University, Akron, OhioUSA.

Prehospital and Disaster Medicine
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PubMed
Summary
This summary is machine-generated.

A new prehospital program providing medication for opioid use disorder (MOUD) was developed and piloted. While no patients enrolled in MOUD during the pilot, the program successfully distributed naloxone kits and information, expanding early treatment access.

Keywords:
emergency medical systemsmedication for opioid use disorderopioid addiction

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Area of Science:

  • Public Health
  • Emergency Medicine
  • Addiction Medicine

Background:

  • Over 2.7 million individuals have opioid use disorder (OUD), with rising opioid-related deaths.
  • Emergency department-based medication for opioid use disorder (MOUD) shows success but faces access limitations.
  • This study details the development of a novel prehospital MOUD program to address these gaps.

Purpose of the Study:

  • To describe the development and implementation of a prehospital MOUD program.
  • To expand access to early treatment and continuity of care for patients with OUD.
  • To evaluate the feasibility and initial outcomes of a prehospital MOUD initiative.

Main Methods:

  • An interdisciplinary Quick Response Team (QRT), including a paramedic, social worker, and police officer, was established.
  • The QRT identified and visited eligible patients with a history of opioid overdose.
  • Protocols, training, and necessary logistical elements (drug licensing, restocking) were developed for prehospital MOUD delivery.

Main Results:

  • Over a six-month pilot, 348 QRT visits were conducted, with 83 individuals contacted.
  • No patients elected to be evaluated for new MOUD treatment during the pilot phase.
  • 55 naloxone kits were distributed, and all contacted patients received MOUD information pamphlets.

Conclusions:

  • A prehospital MOUD program can be established to improve early treatment access and care continuity for OUD patients.
  • The program was positively received by the fire department and QRT personnel.
  • Plans are in place to expand the prehospital MOUD program to other fire departments.