TABLE 1. Demographic characteristics, hospital arrival time, prehospital naloxone use, and disposition for 12 patients with fentanyl overdose — Yale New Haven Hospital, New Haven, Connecticut, June 23, 2016.
Patient | Age group (decade) | Sex | Arrival time | Emergency department | Naloxone (Administering provider, route) |
Disposition | ||
---|---|---|---|---|---|---|---|---|
(EMS, IN) | (EMS, IV/IO) | (ED/IV) | ||||||
A |
60s |
Male |
16:16 |
SRC |
2 mg |
0 |
0 |
Discharged |
B |
80s |
Male |
16:36 |
YSC |
2 mg |
1 mg |
0 |
Observed and discharged |
C |
30s |
Male |
16:40 |
YSC |
3 mg |
0 |
0.4 mg |
Intensive care unit |
D |
40s |
Male |
16:48 |
SRC |
3 mg |
0 |
0.4 mg |
Observed and discharged |
E |
70s |
Male |
19:01 |
YSC |
4 mg |
2 mg* |
0 |
Dead on arrival in ED |
F |
70s |
Male |
19:16 |
YSC |
2 mg |
2 mg |
2 mg |
Observed and discharged |
G |
60s |
Male |
19:33 |
YSC |
2 mg |
2 mg |
0.4 mg |
Observed and discharged |
H |
60s |
Male |
19:38 |
SRC |
2 mg |
2 mg |
0.4 mg† |
Intensive care unit |
I |
30s |
Female |
21:31 |
YSC |
0 |
2 mg |
2 mg |
Dead on arrival in ED |
J |
50s |
Female |
21:32 |
YSC |
2 mg |
1 mg |
0 |
Intensive care unit |
K |
60s |
Male |
21:39 |
YSC |
0 |
0.5 mg |
0 |
Intensive care unit§ |
L | 50s | Female | 21:41 | YSC | 2 mg | 2 mg | 0 | Observed and discharged |
Abbreviations: ED = emergency department; EMS = emergency medical services; IN = intranasal; IO = intraosseous; IV = intravenous; SRC = St. Raphael Campus; YSC = York Street Campus.
* Intraosseous injection.
† Naloxone drip 0.4 mg/hour for 12 hours in intensive care unit.
§ Patient died of multiorgan failure in intensive care unit 3 days later.