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Opioid Overdose

Opioid Overdose

Opioid Overdose

FOAMed Wiki - last updated 5/21/25

General Management

Link	Source	Year
Opioid intoxication	IBCC	2021
Pulmonary Complications of Opioid Overdose Treated with Naloxone	Core EM	2020
Tox Myth-Bust – Prehospital Exposure to Fentanyl Analogs	JournalFeed $	2019
Heroin Inhalation and Chasing the Dragon	emDocs	2929

Naloxone and Observation

Observation Duration Post-Naloxone	Source	Year
How Long Should We Observe After Opiate Overdose?	JournalFeed $	2025

HOUR Protocol & Early Discharge	Source	Year
HOUR - Early Discharge After Opioid OD	JournalFeed $	2019
The HOUR Trial: Clinical Decision Rule for Opioid Overdose Patients in the Emergency Department	REBEL EM	2019
The HOUR rule for opioid overdose (Clemency 2018)	First10EM	2019
Wake Me Up Before You Go-Go	SGEM	2019

Nebulized Nalone	Source	Year
Utility of Nebulized Naloxone in Suspected Opioid Overdose	ALiEM	2021

Heroin - inhalation: http://www.emdocs.net/toxcard-chasing-the-dragon/?u

Heroin - cotton fever:

http://www.emdocs.net/toxcard-cotton-fever/?utm_source=feedl

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