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Published on: November 9, 2016
Engaging Emergency Medical Services in Naloxone Distribution to Reduce Drug Overdoses.
Bina Ali1, Katharine Atwood1, Ua-Aree Sangpukdee1
1Pacific Institute for Research and Evaluation, Beltsville, MD, USA.
Emergency Medical Services (EMS) providers are crucial for distributing naloxone kits at overdose scenes. Positive attitudes toward harm reduction and being a career EMS provider significantly increase naloxone kit distribution.
Area of Science:
- Public Health
- Emergency Medicine
- Addiction Science
Background:
- Increasing access to naloxone is a key strategy to reduce opioid overdose deaths.
- Baltimore County Department of Health and EMS implemented a naloxone
- leave behind
- program.
Purpose of the Study:
- Investigate the distribution of naloxone kits by EMS providers.
- Identify factors associated with naloxone kit distribution.
Main Methods:
- Cross-sectional study of 127 EMS providers via online survey (August 2023 - January 2024).
- Descriptive and logistic regression analyses were used to explore participant characteristics, distribution rates, reasons for non-distribution, and associated factors.
Main Results:
- 48.8% of EMS providers reported leaving a naloxone kit at the most recent overdose response.
- Key reasons for not distributing kits included lack of time, kit availability, or patient refusal/possession.
- Naloxone distribution was significantly associated with positive harm reduction attitudes and career EMS provider status.
Conclusions:
- EMS providers are vital in harm reduction efforts.
- Enhanced training and support are needed to fully integrate harm reduction into emergency medical services to prevent drug overdoses.
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