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 DESCRIPTION Category23B01 Overdose/Poisoning, Overdose (Without Priority Symptoms) B23C01 Overdose/Poisoning, Violent (Police Attending) B23C02 Overdose/Poisoning, Not Alert B23C03 Overdose/Poisoning, Abnormal Breathing B23C04 Overdose/Poisoning, Antidepressants (Tricyclic) B
23C05 Overdose/Poisoning, Cocaine (or Derivative) B
23C06 Overdose/Poisoning, Narcotics (Heroin) B23C07 Overdose/Poisoning, Acid or Alkali ( Lye) B23C08 Overdose/Poisoning, Unknown Status (3rd Party Caller) B23C09 Overdose/Poisoning, Poison Control Request for Response C23D01 Overdose/Poisoning, Unconscious A23D02 Overdose/Poisoning, Severe Resp Distress A
23Omega 1Overdose/Poisoning, Poisoning (Without Priority Symptoms) 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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