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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