4. Prevalence of A&D-related harms Non-fatal drug-related cases Ambulance attends drug–related case and Patient Care Record (PCRs) completed at scene Turning Point compiles database of PCRs to document clinical case characteristics Allows for examination of all drugs recorded
8. General Overdose Characteristics 71% of patients are male Average age 33 (range in 2009/2010 was 13-98) Outdoor space 58% Police co-attendance 13% Transported to hospital 32%
13. 000 Call Taking Need to say that heroin was used This will change the post dispatch instructions From 400 compressions to 400 compressions with 2 rescue breaths
14. Risks and Benefits Quicker Response Time More people likely to get chest compressions- Risk of CPR to someone who doesn’t need it versus benefit of CPR to someone who does Less ventilations advised prior to ambulance arrival, has this made a difference? MICA level of care for complicated heroin overdose- does this lead to better outcomes
27. Future Challenges There needs to be more research into this cohort of patients. Why has the percentage of patients not getting naloxone increased and has the clinical presentation of these patients changed over time
28. Future Challenges Paramedics, Drug Users, Alcohol and other Drug Workers, Researchers Can we come together to do better?
Notes de l'éditeur
This figure demonstrates the changes in the dispatchers CPR instruction to bystanders following the upgrade in the AMPDS software. Prior to August 15th 2007 the dispatcher instructed on the traditional Airway-Breathing-Circulation techniques that are taught in basic CPR courses. With a ratio of 2 breaths for every 15 compressions. Following the update in the AMPDS version the dispatcher CPR instructions changed to Airway –followed by an assessment for breathing and 400 compressions before any mouth-to-mouth breathing. The subsequent ratio was 2 breaths for every 100 compressions. Which simplifies CPR steps and reduces the interruptions to compressions.