Welsh Ambulance Services NHS Trust

Report
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru
Welsh Ambulance Services NHS Trust
Responding to Overdose
An Ambulance Perspective
Chris Moore
Clinical Support Lead
Code 23 AMPDS calls
CODE
23B01
23C01
23C02
23C03
23C04
DESCRIPTION
Overdose/Poisoning, Overdose (Without Priority Symptoms)
Overdose/Poisoning, Violent (Police Attending)
Overdose/Poisoning, Not Alert
Overdose/Poisoning, Abnormal Breathing
Overdose/Poisoning, Antidepressants (Tricyclic)
23C05
Overdose/Poisoning, Cocaine (or Derivative)
23C06 Overdose/Poisoning, Narcotics (Heroin)
23C07 Overdose/Poisoning, Acid or Alkali ( Lye)
23C08 Overdose/Poisoning, Unknown Status (3rd Party Caller)
23C09 Overdose/Poisoning, Poison Control Request for Response
23D01 Overdose/Poisoning, Unconscious
23D02 Overdose/Poisoning, Severe Resp Distress
23Omega 1 Overdose/Poisoning, Poisoning (Without Priority Symptoms)
Category
B
B
B
B
B
B
B
B
B
C
A
A
C
Responding to Calls
• Rapid Response Vehicles – RRV
– Solo Responders – Paramedics, Officers,
(EMT’s)
• Emergency Vehicles
– 2 crew members – ideally 1 Paramedic + 1
EMT, but not guaranteed.
– Paramedics and EMT’s administer Naloxone
Responding to Calls
• Solo responders are not sent to “high risk”
incidents – personal safety
• Protocol to call / not call police
• Raised perceptions of risk and fear
– Ambulance staff
– Service Users
• Reassured by recent evaluation findings
Paramedic Distributed Naloxone
• THN initiative relies on recruitment at
community settings
• Paramedics could recruit and train service
users following treatment and recovery at
scene
• Issue Naloxone kit - follow-up at 3 and 12
months
A Personal Experience
Thank you
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