1. Welcome to Naloxone Training for Opioid Overdose Reversal

2. Indiana Naloxone Project Training and Equipping Community Members, Social Service Providers and First Responders indiananaloxoneproject@gmail.com (812) 345-7964

3. A Message From Attorney General Zoeller https://www.youtube.com/watch?v=uDq43xv Bg6M

4. Public Health Epidemic Public Health Epidemic  The CDC declared a Public Health Epidemic related to Prescription Opioid Pain Medication in 2011.  In the past 15 years opioid fatalities totaled 250,766 (40+ per day)  In the past 15 years, overdose deaths increased by 1,032% among persons 55- 64 years old.

5. Bottom Line Opioids suppress breathing Naloxone is a safe and easy drug for First Responders to administer First Responders can save lives with Naloxone

6. Physiology Of OD 2. How To ID An OD 3. Risk Factors Of OD 1. Physiology Of OD 2. How To ID An OD 3. Risk Factors Of OD

7. Physiology Of An Overdose When an opiate is ingested it binds with the opioid receptors in brain. Opioids suppress the respiratory system. More than 5 minutes of not breathing can lead to permanent brain damage Rescue breathing can keep a person alive

8. What Are Some Signs Of An Opiate Overdose? Call ‘em out…

9. Signs Of An Opiate Overdose Awake but unable to talk Body is very limp Face is pale and clammy Lips, fingernails skin blue for lighter skinned people Lips, fingernails turn gray for darker skinned people Choking or gurgling sounds Vomiting, foaming Loss of consciousness Breathing is very slow, shallow, erratic or has stopped * Sternal Rub* Risks factors for OD?

10. What Risk Factors Increase The Possibility Of An Overdose? Call ‘em out…

11. Increased Risk of Overdose Low Tolerance (been clean for as little as three days) Mixing with other drugs (uppers or downers) Hot loading Type of drug / potency Using alone / isolation Shame/Stigma Kills Age and physical health Previous, non-fatal OD Confusion Old age Mode of administration (snort, oral, skin pop, muscle, vein) Common opiates

12. What Are Some Common Opiates? What Drugs Are NOT Opiates? Call ‘em out…

13. NaloxoneONLYWorks On Opiates Naloxone ONLY Works On Opiates Opiates Heroin Opana Vicodin Tylenol 3 Percocet Fentanyl Demerol Morphine Suboxone Oxycontin Methadone Hydrocodone NOT 0piates Cocaine DMX Spice Alcohol Antihistamine Benzodiazepine Methamphetamine Use Naloxone If I’m Not Sure What They’ve Taken?

14. Use Naloxone Even If You Aren’t Sure Opiates Are Involved Naloxone is safe Only reverses opiate overdose Does not interact with other illicit drugs Take opiates out of equation in a polypharma situation What Is Naloxone?

15. Opiate Overdose Reversal Drug -that’s it -just that -nothing else Naloxone and Narcan are the same drug How Does It Work?

16. How Does Naloxone Work? Naloxone is an Opiate Antagonist  Stronger affinity for opioid receptors than opiates  Allows resumption of breathing  Kicks opiates off of receptors for up to 90 minutes…or as short as 20 minutes…this is one of the reasons that transport to medical care is imperative Naloxone works on ALL opiates What ‘s That Look Like?

18. Naloxone Is Very Safe administered to newborns not known to interact with any other drugs invented in 1961, FDA approved in 1971 no potential for abuse/no euphoria could safely inject or ingest it right now

19. Steps to Overdose Response Call for EMS support Steps to Overdose Response Call for EMS support 1)Evaluate Breathing 2)Stimulation- Sternum rub 3)Check/Clear Airway 4)Rescue Breathing 5)Administer Naloxone 6)Resume rescue breathing 7)Re-administer 8)Recovery Position  Fewer than 8 times/min?  Can they be awakened?  Nothing inside mouth  Two quick breaths, then one every 5 seconds  ½ dose in each nostril  Continue one breath every 5 seconds  If needed give second dose after 2 minutes Call for EMS support

20. RESCUE BREATHING DURING AN OPIATE OVERDOSE COULD SAVE A LIFE Signs Of Overdose?

21. Practice Time!

22. When breathing resumes, place in the Recovery Position.

23.  Overdoses do not have to be fatal.  Naloxone is not a ”magic bullet” for our crisis.  The difference between life and death depends on what actions are taken to care for a person who has overdosed.  Always ensure transport to the hospital for follow up care.

24. Where To Get Help-Referrals Get Clean Indiana Recovery Alliance Centerstone Amethyst House Recovery Engagement Center Restorative Solutions Stay Healthy  Positive Link  Volunteers in Medicine  Futures Family Planning  Planned Parenthood  Primary Physician

25. Conclusion Naloxone is a safe and effective way of taking care of citizens experiencing opioid overdose First Responders can easily learn and safely apply this skill Significant data exists to confirm that Naloxone saves lives

26. Be careful out there, and let us know if we can be helpful.

27. Everything You Think You Know About Addiction Is Wrong? https://www.ted.com/talks/johann_hari_ever ything_you_think_you_know_about_addictio n_is_wrong?language=en

28. Volunteer, Donate, Get Help, Get Educated Indiana Naloxone Project PO Box 394 Bloomington, IN 47402 812-345-7964 indiananaloxoneproject@gmail.com facebook.com/indianarecoveryalliance