No Stupid Questions
No such thing. Ask away!
!nostupidquestions is a community dedicated to being helpful and answering each others' questions on various topics.
The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:
Rules (interactive)
Rule 1- All posts must be legitimate questions. All post titles must include a question.
All posts must be legitimate questions, and all post titles must include a question. Questions that are joke or trolling questions, memes, song lyrics as title, etc. are not allowed here. See Rule 6 for all exceptions.
Rule 2- Your question subject cannot be illegal or NSFW material.
Your question subject cannot be illegal or NSFW material. You will be warned first, banned second.
Rule 3- Do not seek mental, medical and professional help here.
Do not seek mental, medical and professional help here. Breaking this rule will not get you or your post removed, but it will put you at risk, and possibly in danger.
Rule 4- No self promotion or upvote-farming of any kind.
That's it.
Rule 5- No baiting or sealioning or promoting an agenda.
Questions which, instead of being of an innocuous nature, are specifically intended (based on reports and in the opinion of our crack moderation team) to bait users into ideological wars on charged political topics will be removed and the authors warned - or banned - depending on severity.
Rule 6- Regarding META posts and joke questions.
Provided it is about the community itself, you may post non-question posts using the [META] tag on your post title.
On fridays, you are allowed to post meme and troll questions, on the condition that it's in text format only, and conforms with our other rules. These posts MUST include the [NSQ Friday] tag in their title.
If you post a serious question on friday and are looking only for legitimate answers, then please include the [Serious] tag on your post. Irrelevant replies will then be removed by moderators.
Rule 7- You can't intentionally annoy, mock, or harass other members.
If you intentionally annoy, mock, harass, or discriminate against any individual member, you will be removed.
Likewise, if you are a member, sympathiser or a resemblant of a movement that is known to largely hate, mock, discriminate against, and/or want to take lives of a group of people, and you were provably vocal about your hate, then you will be banned on sight.
Rule 8- All comments should try to stay relevant to their parent content.
Rule 9- Reposts from other platforms are not allowed.
Let everyone have their own content.
Rule 10- Majority of bots aren't allowed to participate here.
Credits
Our breathtaking icon was bestowed upon us by @Cevilia!
The greatest banner of all time: by @TheOneWithTheHair!
view the rest of the comments
Tolerance is part of the equation, but breathing and circulation play a huge role too
If a nasal spray is administered but the person isn't breathing it will still be absorbed, but if oxygen levels are low af it's going to take more time, therefore you keep pumping the narcan until you're sure. When I'm standing over an OD'ing street kid, I'm taking NO chances.
Same thing with intramuscular injections. Yes the drug is in the body but circulation helps a lot and if the heart has slowed or stopped... well. You keep pumping shots of narcan until they die or come back.
Final most important is that the user or person attending may believe the user took fent, but they probably had a dangerous street concoction consisting of fent + any other number of who-knows-what. Often referred to as "down". There's absolutely no way to know if they need more narcan because of tolerance or something else
edit: At the end of it all, there is no way after the fact to determine what the "correct" amount of narcan was for that situation. It is highly situational and depends on many factors. The rule is if you're not sure, more narcan, because this ain't the time to guess wrong.
That's pretty much exactly what I was told back when narcan first started being available easily for pain patients and such. There's too many factors involved to piss around with trying to calculate anything in the time you have available to make it work, so you just give more and pump that damn chest.
There is no maximum dose of Narcan and more won't harm a person. The general guideline is every 2-3 minutes until revival or death.
Chest compressions can kill an overdosing person if their heart is still beating, so not always chest compressions. This is the scariest decision to me...
I've worked in crisis shelters so I have wayyyyyyy more exposure to OD'ing people than anybody ever should :(
Damn. I've only been around a few, what with home health patients making maybe mistakes and playing gopher in the local ER. It was actually worse, for me, than stuff like strokes or heart attacks. There's just this extra edge of "wtf" to it.
Luck of the draw, the first day I was in the ER, still 17 and a student, the third patient I "helped" with, I actually had to help with. 14yo OD, pregnant and wanting to escape it all. She was not quite conscious, but not as far out as I saw later on. But she was fighting everyone trying to put a tube in, so the big kid got pointed out to hold her legs.
After that, it was a lot less panic, but a lot more uncertainty on my end. Compared to that kind of thing, finding a patient in bed barely alive was more about not being sure what to do, which is what made it worse for me. At least with a stroke, there wasn't any uncertainty, no way I could screw up. Well, I guess that's not true, but it felt that way.
I don't envy the folks that deal with ODs regularly, much less a crisis shelter worker.
It sounds like you're actually saying that at the end, the correct amount was the amount it took to revive them.