Bystander Naloxone Training Saves Lives

Death rates are spiraling out of

control--for both prescription

opioids and heroin!

Graphic: Nytimes.com

The scope of the problem

Over the past

decade, rates of

heroin use

increased by over

60%, while heroin

overdose deaths

nearly quadrupled,

climbing by 286%.

Graphic: Drugabuse.gov

The CDC has

classified

overdose

deaths as a

national

epidemic.

Graphic: teens.drugabuse.gov

Locally, trends are increasing

dramatically as well.

An additional 9

deaths are directly

attributable to

prescription opioids

in 2014

Graphic: Fredericknewspost.com

Reversing the trend

Graphic: www.CDC.gov

•Increased funding

is leading to new

public service

efforts.

•Increased

prescription opioid

monitoring.

•Increased access

to treatment.

•Reversing acute

overdose.

Policy Statement

Naloxone has been proven safe and

efficacious in the emergent reversal of

opioid overdose by lay rescuers.

Increased naloxone training and availability

of this drug in the community is

advantageous.

Naloxone has been proven safe and

efficacious in the emergent

reversal of opioid overdose by lay

rescuers.

Increased naloxone training and

availability of this drug in the

community is advantageous.

Studies show… •Bystanders (including other

users) are willing to help.

•Intranasal Naloxone is safe

and effective.

•Formal, in-class training

increases confidence and

competence.

•When naloxone is available,

it is used to save lives! Graphic: Static1.squarespace.com

Emergency treatment:

•Recognize the

overdose.

•Stimulate the person.

•Call for help.

•Administer naloxone.

•Perform rescue

breathing.

Graphic: thatoregonlife.com

Overdose response training includes:

•Identification of an

opioid

•Overdose recognition

•Responding to an

overdose

•Detailed naloxone

administration

instructions

•Question and Answer

session

•Skills practice Graphic: bha.dhmh.maryland.gov

Graphic: http://bha.dhmh.maryland.gov

The Details:

Implementation

Graphic: wvgazettemail.com

•Space and training provided

by entity free of charge as

community service.

•Naloxone training materials

have been provided by

emergency department

personnel.

•Other supplies, such as

atomizers and certificates,

provided free of charge by

entity.

•Training curriculum provided

by State of Maryland.

Trainings have no associated cost to

attendees. They are geared

specifically to family and friends,

although anyone may attend.

Upon successful completion attendees will

receive a certificate which will allow purchase of

naloxone from a local pharmacy without a

prescription. Graphic: choppersguide.com

CarpenterCPRsolutions.com

Spread the word...

Register now

on the course

calendar at:

Other local training entities: •Frederick County Health

Department also offers

some bystander training.

Many trainings at this entity

are directed toward local

law enforcement.

•Mountain Manor Treatment

Center in Emmitsburg offers

training to inpatients and

family members only at this

time.

Graphic: EMSworld.com

THANK YOU!

Thank you for your time and support with the

implementation of this project. Your efforts will

save lives!

References

American Public Health Association. (2016). Reducing opioid overdose through

education and naloxone distribution. Retrieved from https://www.apha.org/policies-

and-advocacy/public-health-policy-statements/policy-

database/2014/07/16/13/08/reducing-opioid-overdose-through-education-and-

naloxone-distribution

American Society for Addiction Medicine. (2016). Opioid addiction 2016 facts and

figures [Fact sheet]. Retrieved from http://www.asam.org/docs/default-

source/advocacy/opioid-addiction-disease-facts-figures.pdf

Behavioral Health Administration, Department of Health and Mental Hygiene, State of

Maryland (2015). Maryland overdose response program: Educational training

program core curriculum [PowerPoint slides]. Retrieved from

http://bha.dhmh.maryland.gov/Documents/MD_ORP_CoreCurriculum_Updated_Dec%

202015v2.pdf

Centers for Disease Control and Prevention (2014). The 10 essential public health

services: An overview [Lecture notes]. Retrieved from

http://www.cdc.gov/nphpsp/documents/essential-phs.pdf

Centers for Disease Control and Prevention. (2015). Today’s heroin epidemic [Issue

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Clark, A. (2014, August 17). Legislative: Responding to the fatal opioid overdose

epidemic: A call to nurses. OJIN: The Online Journal of Issues in Nursing, 19(3).

References Frederick County Health Department. (2012). Opioid overdose prevention plan.

Retrieved from https://frederickcountymd.gov/DocumentCenter/View/265401

Giglio, R. E., Li, G., & DiMaggio, C. J. (2015). Effectiveness of bystander naloxone administration and overdose education programs: A meta-analysis. Injury Epidemiology, 2(1). http://dx.doi.org/10.1186/s40621-015-0041-8

Jones, P. (2015, March 29). Police: Prescription drug abuse in county pervasive, but pales to heroin epidemic. Frederick News Post. Retrieved from http://www.fredericknewspost.com/news/crime_and_justice/police-prescription-drug-abuse-in-county-pervasive-but-pales-to/article_ccf5b5f2-632b-5527-8031-b9d5efd77a84.html

Kerr, D., Kelly, A., Dietze, P., Jolley, D., & Barger, B. (2009). Randomized controlled trial comparing the effectiveness and safety of intranasal and intramuscular naloxone for the treatment of suspected heroin overdose. Addiction, 104(12), 2067-2074. http://dx.doi.org/10.1111/j.1360-0443.2009.02724.x

Maryland Department of Health and Mental Hygiene. (2015). Drug and alcohol-related intoxication deaths in Maryland, 2014 [Annual report]. Retrieved from http://dhmh.maryland.gov/data/Documents/Annual%20OD%20Report%202014_merged%20file%20final.pdf

National Institute on Drug Abuse. (2014). Abuse of prescription pain medications risks heroin use [Infographic]. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/infographics/abuse-prescription-pain-medications-risks-heroin-use

References Statistica. (2016). Drug overdose death rate in the United States in 2015, by state (per

100,000 population). Retrieved from http://www.statista.com/statistics/246637/top-ten-

leading-states-concerning-death-rate-of-drug-overdose-in-the-us/

Strang, J. (2015). Death matters: Understanding heroin/opiate overdose risk and

testing potential to prevent deaths. Addiction, 110(S2), 27-35.

http://dx.doi.org/10.1111/add.12904

The Network for Public Health Law. (2015). Legal interventions to reduce overdose

mortality: Naloxone access and overdose good samaritan laws. Retrieved from

https://www.networkforphl.org/_asset/qz5pvn/network-naloxone-10-4.pdf

Wheeler, E., Jones, T.S., Gilbert, M.K., Davidson, P.J., & Centers for Disease Control

and Prevention (CDC). (2015). Opioid overdose prevention programs providing

naloxone to laypersons - United States, 2014. MMWR. Morbidity and Mortality Weekly

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http://search.proquest.com/docview/1693339571?accountid=14793

Williams, A. V., Marsden, J., & Strang, J. (2014). Training family members to manage

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