Simulation of the Effects of Co-Locating Naloxone with Automated External Defibrillators

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jessica SalernoDavid D Salcido

Abstract

Opioid-related overdoses have been steadily increasing over the past decade in the United States. Naloxone is used by first responders to revive overdose victims, but results may be improved by increasing access to and usage of naloxone by bystanders. Automated External Defibrillators (AEDs) are pervasive, recognizable, and publicly accessible. Co-locating naloxone kits with AEDs could increase public naloxone access and usage. However, the impact of co-locating naloxone kits with AEDs is not known. We sought to evaluate the impact of co-locating naloxone kits with AEDs in a simulation study centered on Allegheny County, Pennsylvania. Naloxone administration frequency (N = 3,650) at the zip-code level from March 2016 to March 2017 was provided by the Allegheny County Health Department. AED point locations (N = 1,653) were obtained from the University of Pittsburgh's Resuscitation Logistics and Informatics Venture. Zip-code level geospatial analyses were conducted using QGIS and STATA to determine the correlation between AED count and naloxone administrations. AED naloxone kit (N-AED) coverage, based on a maximum "walking-distance" radius of 200 m, was estimated at a zip-code level using the QGIS buffer tool and a custom MATLAB ...Continue Reading

References

May 4, 2015·Drug and Alcohol Dependence·Jon MeimanLeonard Paulozzi
May 28, 2016·Prehospital and Disaster Medicine·Matthew J Levy
Oct 18, 2016·Injury Epidemiology·Rebecca E GiglioCharles J DiMaggio
Jun 1, 2017·The New England Journal of Medicine·Nora D Volkow, Francis S Collins

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Citations

Nov 10, 2020·Preventive Medicine Reports·G Franklin EdwardsSarah Henrickson Parker
Mar 9, 2021·Circulation·Cameron DezfulianUNKNOWN American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; Council on Arterioscl

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