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Naloxone administration by law enforcement officers in New York State (2015–2020)

BACKGROUND: The COVID-19 pandemic has amplified the need for wide deployment of effective harm reduction strategies in preventing opioid overdose mortality. Placing naloxone in the hands of key responders, including law enforcement officers who are often first on the scene of a suspected overdose, i...

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Autores principales: Pourtaher, Elham, Payne, Emily R., Fera, Nicole, Rowe, Kirsten, Leung, Shu-Yin John, Stancliff, Sharon, Hammer, Mark, Vinehout, Joshua, Dailey, Michael W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483860/
https://www.ncbi.nlm.nih.gov/pubmed/36123614
http://dx.doi.org/10.1186/s12954-022-00682-w
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author Pourtaher, Elham
Payne, Emily R.
Fera, Nicole
Rowe, Kirsten
Leung, Shu-Yin John
Stancliff, Sharon
Hammer, Mark
Vinehout, Joshua
Dailey, Michael W.
author_facet Pourtaher, Elham
Payne, Emily R.
Fera, Nicole
Rowe, Kirsten
Leung, Shu-Yin John
Stancliff, Sharon
Hammer, Mark
Vinehout, Joshua
Dailey, Michael W.
author_sort Pourtaher, Elham
collection PubMed
description BACKGROUND: The COVID-19 pandemic has amplified the need for wide deployment of effective harm reduction strategies in preventing opioid overdose mortality. Placing naloxone in the hands of key responders, including law enforcement officers who are often first on the scene of a suspected overdose, is one such strategy. New York State (NYS) was one of the first states to implement a statewide law enforcement naloxone administration program. This article provides an overview of the law enforcement administration of naloxone in NYS between 2015 and 2020 and highlights key characteristics of over 9000 opioid overdose reversal events. METHODS: Data in naloxone usage report forms completed by police officers were compiled and analyzed. Data included 9133 naloxone administration reports by 5835 unique officers located in 60 counties across NYS. Descriptive statistics were used to examine attributes of the aided individuals, including differences between fatal and non-fatal incidents. Additional descriptive analyses were conducted for incidents in which law enforcement officers arrived first at the scene of suspected overdose. Comparisons were made to examine year-over-year trends in administration as naloxone formulations were changed. Quantitative analysis was supplemented by content analysis of officers’ notes (n = 2192). RESULTS: In 85.9% of cases, law enforcement officers arrived at the scene of a suspected overdose prior to emergency medical services (EMS) personnel. These officers assessed the likelihood of an opioid overdose having occurred based on the aided person’s breathing status and other information obtained on the scene. They administered an average of 2 doses of naloxone to aided individuals. In 36.8% of cases, they reported additional administration of naloxone by other responders including EMS, fire departments, and laypersons. Data indicated the aided survived the suspected overdose in 87.4% of cases. CONCLUSIONS: With appropriate training, law enforcement personnel were able to recognize opioid overdoses and prevent fatalities by administering naloxone and carrying out time-sensitive medical interventions. These officers provided life-saving services to aided individuals alongside other responders including EMS, fire departments, and bystanders. Further expansion of law enforcement naloxone administration nationally and internationally could help decrease opioid overdose mortality.
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spelling pubmed-94838602022-09-19 Naloxone administration by law enforcement officers in New York State (2015–2020) Pourtaher, Elham Payne, Emily R. Fera, Nicole Rowe, Kirsten Leung, Shu-Yin John Stancliff, Sharon Hammer, Mark Vinehout, Joshua Dailey, Michael W. Harm Reduct J Research BACKGROUND: The COVID-19 pandemic has amplified the need for wide deployment of effective harm reduction strategies in preventing opioid overdose mortality. Placing naloxone in the hands of key responders, including law enforcement officers who are often first on the scene of a suspected overdose, is one such strategy. New York State (NYS) was one of the first states to implement a statewide law enforcement naloxone administration program. This article provides an overview of the law enforcement administration of naloxone in NYS between 2015 and 2020 and highlights key characteristics of over 9000 opioid overdose reversal events. METHODS: Data in naloxone usage report forms completed by police officers were compiled and analyzed. Data included 9133 naloxone administration reports by 5835 unique officers located in 60 counties across NYS. Descriptive statistics were used to examine attributes of the aided individuals, including differences between fatal and non-fatal incidents. Additional descriptive analyses were conducted for incidents in which law enforcement officers arrived first at the scene of suspected overdose. Comparisons were made to examine year-over-year trends in administration as naloxone formulations were changed. Quantitative analysis was supplemented by content analysis of officers’ notes (n = 2192). RESULTS: In 85.9% of cases, law enforcement officers arrived at the scene of a suspected overdose prior to emergency medical services (EMS) personnel. These officers assessed the likelihood of an opioid overdose having occurred based on the aided person’s breathing status and other information obtained on the scene. They administered an average of 2 doses of naloxone to aided individuals. In 36.8% of cases, they reported additional administration of naloxone by other responders including EMS, fire departments, and laypersons. Data indicated the aided survived the suspected overdose in 87.4% of cases. CONCLUSIONS: With appropriate training, law enforcement personnel were able to recognize opioid overdoses and prevent fatalities by administering naloxone and carrying out time-sensitive medical interventions. These officers provided life-saving services to aided individuals alongside other responders including EMS, fire departments, and bystanders. Further expansion of law enforcement naloxone administration nationally and internationally could help decrease opioid overdose mortality. BioMed Central 2022-09-19 /pmc/articles/PMC9483860/ /pubmed/36123614 http://dx.doi.org/10.1186/s12954-022-00682-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Pourtaher, Elham
Payne, Emily R.
Fera, Nicole
Rowe, Kirsten
Leung, Shu-Yin John
Stancliff, Sharon
Hammer, Mark
Vinehout, Joshua
Dailey, Michael W.
Naloxone administration by law enforcement officers in New York State (2015–2020)
title Naloxone administration by law enforcement officers in New York State (2015–2020)
title_full Naloxone administration by law enforcement officers in New York State (2015–2020)
title_fullStr Naloxone administration by law enforcement officers in New York State (2015–2020)
title_full_unstemmed Naloxone administration by law enforcement officers in New York State (2015–2020)
title_short Naloxone administration by law enforcement officers in New York State (2015–2020)
title_sort naloxone administration by law enforcement officers in new york state (2015–2020)
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483860/
https://www.ncbi.nlm.nih.gov/pubmed/36123614
http://dx.doi.org/10.1186/s12954-022-00682-w
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