Journal of Urgent Care Medicine

Compression Plus Ventilation CPR Is Best For Overdose Cardiac Arrest

In cases of cardiac arrest associated with an opioid overdose, outcomes may be improved if bystander CPR is administered that includes both mouth-to-mouth rescue breathing as well as chest compressions, according to a large cohort study of 10,923 out-of-hospital cardiac arrest (OHCA) cases in British Columbia. As published in JAMA Network Open, researchers investigated the impact of bystander CPR techniques on neurologic outcomes, including among opioid-associated OHCA (OA-OHCA) cases. Of the 1,343 OA-OHCA cases studied, …

Substantial Update to First Aid Guidelines Reflects New Literature

New first aid guidelines from the American Heart Association (AHA) and the American Red Cross published in Circulation expand the scope of emergency care conditions addressed and provide greater specificity for first aid action steps. It is the first major update since 2010. Key topics that are new, substantially revised, or have significantly updated literature include: opioid overdose; bleeding control; open chest wounds; spinal motion restriction; hypothermia and frostbite; presyncope; anaphylaxis, snakebite; oxygen administration; and …

Vermont Seeks New Rules for Opioid Prescribing

Vermont is aiming to lower incidence of opioid addiction by putting new restrictions on prescribers. For starters, the state health department has recommended limiting the number of opioid pills a doctor can prescribe; Gov. Peter Shumlin suggested 10 would be appropriate for patients undergoing minor procedures like those that might be performed in the urgent care setting, but the proposal currently on the table frames the amount as a “5-day supply for acute pain.” That …

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