Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru Welsh Ambulance Services NHS Trust

Responding to Overdose

An Ambulance Perspective

Chris Moore Clinical Support Lead

Code 23 AMPDS calls

CODE 23B01 23C01 23C02 23C03 23C04 DESCRIPTION Overdose/Poisoning, Overdose (Without Priority Symptoms) Overdose/Poisoning, Violent (Police Attending) Overdose/Poisoning, Not Alert Overdose/Poisoning, Abnormal Breathing Overdose/Poisoning, Antidepressants (Tricyclic) 23C05 Overdose/Poisoning, Cocaine (or Derivative) 23C06 23C07 23C08 23C09 23D01 23D02 Overdose/Poisoning, Narcotics (Heroin) Overdose/Poisoning, Acid or Alkali ( Lye) Overdose/Poisoning, Unknown Status (3rd Party Caller) Overdose/Poisoning, Poison Control Request for Response Overdose/Poisoning, Unconscious Overdose/Poisoning, Severe Resp Distress 23Omega 1 Overdose/Poisoning, Poisoning (Without Priority Symptoms) Category B B B B B B B B B C A A C

Responding to Calls

• Rapid Response Vehicles – RRV – Solo Responders – Paramedics, Officers, (EMT’s) • Emergency Vehicles – 2 crew members – ideally 1 Paramedic + 1 EMT, but not guaranteed.

– Paramedics and EMT’s administer Naloxone

Responding to Calls

• Solo responders are not sent to “high risk” incidents – personal safety • Protocol to call / not call police • Raised perceptions of risk and fear – Ambulance staff – Service Users • Reassured by recent evaluation findings

Paramedic Distributed Naloxone

• THN initiative relies on recruitment at community settings • Paramedics could recruit and train service users following treatment and recovery at scene • Issue Naloxone kit - follow-up at 3 and 12 months

A Personal Experience

Thank you

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