���TASK FORCE LONE STAR �NARCAN TRAINING��
12 MAY 2022
TASK: Administer NARCAN to Overdosed Individual
Conditions: Given NARCAN spray in field or garrison environment. Soldier will identify overdosed person and administer NARCAN.
Standard: NARCAN is administered and referred to EMS.
NALOXONE (NARCAN)
What it is-
• Naloxone hydrochloride, an opioid antagonist.
• Naloxone blocks or reverses the effects of opioid
medication, including extreme drowsiness, slowed
breathing, or loss of consciousness.
• Naloxone is used to treat a narcotic overdose in an
emergency situation. This medicine should not be used in
place of emergency medical care for an overdose.
• CALL 911, CASEVAC TO ER
Things to know about Narcan
○ Anyone receiving Narcan be transported to the hospital by EMS, spray is not substitute for ER Medical Care
○ With some long-lasting opioids, Narcan may wear off, causing the person to lose consciousness again
○ Highly recommended to use judgement to
restrain individual
OPIOID OVERDOSE
SYMPTOMS
Overdose symptoms include
• Drowsiness
• Disorientation
• Sedation
• Pinpoint pupils
• Respiratory depression
• Respiratory arrest
PHARMACOLOGY
It is an Opioid Antagonist. So, the receptors in your body that
accept Opioids are basically blocked by the Naloxone, taking away the high/overdose symptoms.
Has a half life of about 30-80 minutes. So, that means it wears
off pretty fast allowing the Opioid to resume control of the
receptors and the Overdose symptoms can return. Do we let
them go? Or are they going to the hospital with EMS?
NALOXONE
When do we use it?
• Be sure you know how to recognize the signs of an opioid
overdose in the person you are caring for. Start with
ABC’s! Overdose symptoms may include:
• slowed breathing, or no breathing;
• very small or pinpoint pupils in the eyes;
• slow heartbeats; or
• extreme drowsiness, especially if you are unable to wake
the person from sleep.
ADMINISTERING
NALOXONE
• Symptoms of overdose have been identified.
• Hold NARCAN Nasal Spray with thumb on the bottom of the plunger and your first and middle fingers on either side of the nozzle.
• Lay the patient on their back and administer NARCAN Nasal Spray into Individuals’ nostril.
ADMINISTERING
NALOXONE
• Give a quick push on the end of the capsule and spray the Naloxone into the nose. Give only 2 mg/.05 mL of the Spray in 1 nostril.
• Turn patient on their side and call for emergency medical assistance immediately after administration of the first dose of NARCAN Nasal Spray.
• Resuscitative measures may be help full while awaiting emergency care
• Monitor Patient if no reaction after 2-3 min, give the 2nd dose in the other nostril.
• Report incident as SPOT Report to Chain of Command.
ADMINISTERING
NALOXONE
• Symptoms of overdose have been identified.
• Lay the patient on their back and administer NARCAN Nasal Spray into Individuals’ nostril.
• Give a quick push on the end of the capsule and spray the Naloxone into the nose. Give only 2 mg/.05 mL of the Spray in 1 nostril.
• Turn patient on their side and call for emergency medical assistance immediately after administration of the first dose of NARCAN Nasal Spray.
• Resuscitative measures may be help full while awaiting emergency care
• Monitor Patient if no reaction after 2-3 min, give the 2nd dose in the other nostril.
• Report incident as SPOT Report to Chain of Command.
SPECIAL
INSTRUCTIONS
• Store naloxone at room temperature below 77 degrees Fahrenheit away from moisture and heat. Do not Freeze or expose to heat above 104 degrees. Protect from light.
• Keep the auto-injector in its outer case until you are ready
to use it.
• Do not use the medicine if it has changed colors or has
particles in it.
• Check your expiration date!
NEED TO KNOW
• Inhalation of Fentanyl, etc is MOST LIKELY to lead to
harmful effects.
• Less likely is skin contact. But, we still need to worry
about it.
• AVOID making this stuff go airborne. Maybe DON’T test it
on your squad hood, etc.
• Wear a mask.
EXPOSURE?
1. If it is dry, brush it off and keep it away from mucus
membrane areas such as eyes, nose and mouth. DON’T
touch these areas with your hands.
2. Flush with copious amounts of COLD water and soap if
contact is made. WARM water opens pores and can lead
to greater exposure.
3. Hand sanitizers and alcohol wipes can OPEN up pores
too. Don’t use these.
4. Stay in pairs and check for signs/symptoms of an Opioid
Overdose.
DEFINITELY
EXPOSED?
See if Individual is exhibiting
1. slow or no breathing
2. drowsiness/unresponsiveness
3. pinpoint pupils
• Move away from source
• Call for EMS
• Rescue breathing (ABC’s)
• Give Narcan
TEXAS GOOD SAMARITAN LAW
SECTION 74.151 OF THE TX CIVIL PRACTICE AND REMEDIES CODE
Good Samaritan law basically says that if
you have Narcan, you can give it to
someone that is experiencing an
Overdose with no consequences.
Performance Measures
GO NO-GO
QUESTIONS?
REFERENCES:
NARCAN (naloxone HCI) Nasal Spray 4mg, Instruction for use & sign/symptoms of
Opioid Overdose, revised 08/2020, EMERGENTBIOSOLUTIONS.COM, (240) 631-3200
NALOXONE (NARCAN) TRAINING BRIEF INITIAL COURSE 2018, SGT HILLBO, MEDICAL SUPPORT
COORDINATOR (612) 919-9018