Transcript Overdose Training PowerPoint

National
Addiction
Centre
What do we want to achieve with
this training session?
By the end of this training session we would like you to be able to:

Understand why people overdose

Recognise an overdose

Know what to do if someone overdose

Know about naloxone and how to use it

Clarify any myths/misconceptions

Fell confident in dealing with an overdose
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Addiction
Centre
How this training session
works?
Teaching session
 Film
 Practical session
 Post questionnaires
 Naloxone prescription
 Voucher and certificate

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Addiction
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Heroin Overdose &
Naloxone Training
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Addiction
Centre
Why are we doing this?

Overdose is the major cause of death among injecting
drug use

People who inject heroin are 14 X more likely to die than
their non-users friend s

Most heroin users will experience an overdose during
their life-time

Death from an heroin overdose is preventable
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Addiction
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Why do People Overdose?
Reduced tolerance/recent abstinence
 Polysubstance use
 Injecting heroin use

 Other
Reasons
• Taking larger than usual doses of heroin
• Increase in heroin purity
• Using heroin when no one else is present
• A long history of heroin use
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Addiction
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What is an Overdose?
Too much heroin stops you breathing and can kill
you.
Any of the following symptoms occurring in
combination with heroin use (or other opioid, such
as: methadone, morphine or codeine):
 Difficulty breathing
 Turning blue
 Lost consciousness
 Unable to be roused
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Addiction
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How do I recognise an overdose?
1. Unrousable
2. Stopped/slow/shallow breathing
3. Turning pale/blue lips
4. Cold to touch
5. Very small pupils
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Be Prepared!
If you spend time with people who use you could witness an overdose.
“My son died of a heroin overdose, but I
couldn’t get to him quick enough, the
paramedics couldn’t revive him. My
daughter is still on drugs”
The majority of overdose deaths are preventable because they usually
happened at home, in the presence of other people and most deaths
occur within 3 hours after injection.
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Addiction
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What to do if I see an
Overdose?
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Addiction
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How to manage an Heroin Overdose?
Step 1: Approach with Care
Step 2: Check for Response
Step 3: If no response – GET HELP – Dial 999
Step 4: Check Airway and Breathing
Step 5: Recovery Position
Step 6: Give Naloxone
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Ambulance
Breathing and Airways
reCovery Position
+ NALOXONE
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Addiction
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Step 1: Approach with Care!

Beware of hazards?

Check for danger

Careful with needles
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Addiction
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Step 2: Check for Response

Check if person
conscious by:
 call
their name
 pinch ears
 pinch finger nail bed
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Addiction
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Is it a heroin overdose?
 Yes

 No
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Addiction
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Step 3: GET HELP

Dial 999 - AMBULANCE

Give exact address, postcode if
possible

Say what taken & they are
unresponsive

Don’t be afraid of calling the
ambulance
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STEP 4: Airway and Breathing
Check Airway - Mouth –
Clear blockages
Open Airway - Head Tilt
and Chin Lift
Check if Breathing
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Addiction
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Step 5: Recovery Position

Put person in the
RECOVERY
POSITION

So if they vomit,
they will not
choke
Step 6: Inject Naloxone
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Naloxone
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Addiction
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The Heroin Antidote

User can now be prescribed an “heroin antidote”
called Naloxone or Narcan®

Naloxone can temporarily reverse an overdose
by kicking the heroin off the person’s system

A legislative change happened in 2005
permitting anyone to administer emergency
naloxone for the purpose of saving a life
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Addiction
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Can naloxone be dangerous?

No effect on overdoses resulting from the use
of other drugs

No potential for abuse

Naloxone precipitates WITHDRAWAL (going
cold Turkey) – the individual may want to use
again straight away or become aggressive.
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How long the effect of Naloxone
lasts for?
Overdose can last
for 8 hours or
more - especially
with methadone
It is short acting wears off quickly
It can begin to
wear off in 20
minutes
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Step 6: Inject Naloxone

Get naloxone

Attach needle

Needle 90º to skin

Insert needle into muscle

Slowly push plunger

Discard into sharps box
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Where do you inject?
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Evaluate:
Is the person still not breathing?

If not, consider given a second dose, but
be careful not to puncture yourself with the
needle and ensure you do not use dirty
needles
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Addiction
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Evaluate:
Is the person still not breathing?
If they are still unresponsive
Give Basic Life Support
(if you know how to do this)
30 Chest compressions
+
2 Breaths
Repeat until ambulance arrives
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Addiction
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Would you like to learn more
about resuscitation techniques?
These are some places that offer Basic Life Support Training:

London Ambulance Service (free): 020 7463 3120

British Red Cross: 0844 871 8000

St Johns Ambulance: 08700 10 49 50

Heartstart UK: 0300 330 3311
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Addiction
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SUMMARY
Ambulance
Breathing and Airways
reCovery Position
+ NALOXONE
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Addiction
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And When the Person Comes
Around?

The person will be confused

Explain to them what happened

Advise them to not use any further drugs

Remind the person that naloxone will wear off in a little while
(about an hour) and the “high” will gradually return

Advise the person not to walk away until they have been seen by
the paramedics

If they choose not to go to the hospital, explain to them that they
could overdose again and therefore should be monitored for the
next 2-3 hours
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What do I say to the
paramedics?

Tell the paramedics what you have found, seen and
done to help

If naloxone has been used, dispose used needles
safely in a sharp container (paramedics or yours).
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Where should I keep my
Naloxone supply?
 Carry
 In
with you, OR
a specific place at home
 Let
other people know where it’s kept
 Keep
away from strong light
 Keep
out of reach of children
 In
case you use it, contact us for a replacement
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