{"id":170,"date":"2017-10-19T20:20:48","date_gmt":"2017-10-20T03:20:48","guid":{"rendered":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/?p=170"},"modified":"2017-10-19T20:20:48","modified_gmt":"2017-10-20T03:20:48","slug":"karmik-training-session","status":"publish","type":"post","link":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/2017\/10\/19\/karmik-training-session\/","title":{"rendered":"Karmik Training Session"},"content":{"rendered":"<p><strong>Base info &#8211; For all Naloxone trainees<\/strong><\/p>\n<ul>\n<li>Language matters<\/li>\n<li>Person first<\/li>\n<li>Non judgmental language<\/li>\n<li>Stigma<\/li>\n<li>Actively involve individuals to participate in their own care<\/li>\n<\/ul>\n<p><strong>Public Health Emergency<\/strong><\/p>\n<ul>\n<li>Peaks in overdose deaths &#8217;95 and &#8217;99<\/li>\n<li>4 pillars strategy of Harm Reduction enacted in early 2000&#8217;s along with the foundation of insite.<\/li>\n<li>Increasing since 2010-11<\/li>\n<li>Doubling every year, since the last 2 years<\/li>\n<\/ul>\n<p><strong>Substance classification<\/strong><\/p>\n<ul>\n<li>CNS Depressants (D)\n<ul>\n<li>Opioids* &#8211; Fentanyl\n<ul>\n<li>Further subtypes of opioids<\/li>\n<li>Fentanyl Analogues &#8211; Synthetics<\/li>\n<li>Carfentanil is an Elephant Tranquilizer<\/li>\n<\/ul>\n<\/li>\n<li>Alcohol<\/li>\n<li>Benzo<\/li>\n<li>GHB<\/li>\n<\/ul>\n<\/li>\n<li>Stimulant (S)\n<ul>\n<li>Cocaine<\/li>\n<li>Meth<\/li>\n<li>Nicotine<\/li>\n<li>Caffeine<\/li>\n<li>Ecstacy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Risk of overdose<\/strong><\/p>\n<ul>\n<li>Route of administration\n<ol>\n<li>Don&#8217;t Use &#8211; Least Risk<\/li>\n<li>Swallow<\/li>\n<li>Snort\/Smoke\/Insert<\/li>\n<li>Injected &#8211; Highest Risk<\/li>\n<\/ol>\n<\/li>\n<li>Lower Tolerance\n<ul>\n<li>After a break<\/li>\n<li>Detox\/Jail<\/li>\n<li>New<\/li>\n<li>Lung\/Liver<\/li>\n<li>Recent OD<\/li>\n<\/ul>\n<\/li>\n<li>Age and Physical health &#8211; Old \/ Compromised immune system<\/li>\n<li>Mixing Substances &#8211; Don&#8217;t!\n<ul>\n<li>D+D<\/li>\n<li>D+S. Use D before S<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Risk Minimization<\/strong><\/p>\n<p><strong>Testing drugs<\/strong><\/p>\n<ul>\n<li>Reagent Kits<\/li>\n<li>Testkitplus.ca<\/li>\n<li>Can be borrowed from Karmik<\/li>\n<li>Fentanyl Dip Sticks &#8211; Every supervised consumption site<\/li>\n<li>Dose-dose variability of synthetic fentanyl causing differing outcomes<\/li>\n<\/ul>\n<p><strong>Not Using Alone<\/strong><\/p>\n<ul>\n<li>IV &#8211; 30-40 seconds<\/li>\n<li>Develop overdose plan<\/li>\n<li>Leave door ajar<\/li>\n<li>Call someone<\/li>\n<\/ul>\n<p><strong>Naloxone basics<\/strong><\/p>\n<ul>\n<li>Opioid Antagonist<\/li>\n<li>Naloxone amendments\n<ul>\n<li>Mar 22, 2016 &#8211; Remove from prescription drug list<\/li>\n<li>Oct 13, 2016 &#8211; Enable all people to use Naloxone outside a hospital settings<\/li>\n<\/ul>\n<\/li>\n<li>Good Samaritan Drug Overdose act &#8211; Bill C224 &#8211; Immunity from Drug possession (simple possession, not distribution amounts \/ production etc) or breach charges for those who seek help in an emergency (If you&#8217;re not on parole\/pre-trial release)<\/li>\n<li>Half-life of naloxone\n<ul>\n<li>Naloxone 30-90 minutes (least)<\/li>\n<li>Morphine\/Hydrocodone\/Heroin 4h<\/li>\n<li>Methadone 24h<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Opioid Overdose symptom recognition<\/strong><\/p>\n<ul>\n<li>Unconscious\/non-responsive<\/li>\n<li>Depressed breating<\/li>\n<li>Small pupils<\/li>\n<\/ul>\n<p><strong>Non opioid overdose symptoms<\/strong><\/p>\n<ul>\n<li>Depressants &#8211; look a lot like opioid symptoms<\/li>\n<li>Stimulant &#8211; Fast pulse, short of breath, chest pain, elevated temp, agitation<\/li>\n<\/ul>\n<p><strong>\u00a0Response<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&#8220;They&#8217;re dying behind locked doors with kits in their hands\/around them&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Base info &#8211; For all Naloxone trainees Language matters Person first Non judgmental language Stigma Actively involve individuals to participate in their own care Public Health Emergency Peaks in overdose deaths &#8217;95 and &#8217;99 4 pillars strategy of Harm Reduction enacted in early 2000&#8217;s along with the foundation of insite. Increasing since 2010-11 Doubling every&hellip;<\/p>\n","protected":false},"author":37996,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[801875],"tags":[],"class_list":["post-170","post","type-post","status-publish","format-standard","hentry","category-overdose-crisis"],"_links":{"self":[{"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/posts\/170","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/users\/37996"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/comments?post=170"}],"version-history":[{"count":1,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/posts\/170\/revisions"}],"predecessor-version":[{"id":171,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/posts\/170\/revisions\/171"}],"wp:attachment":[{"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/media?parent=170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/categories?post=170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.ubc.ca\/conphyusedgrad\/wp-json\/wp\/v2\/tags?post=170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}