On average people a day die of an opiate overdose in Massachusetts. On average people a day die of an opiate overdose in Massachusetts



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On average 2 people a day die of an opiate overdose in Massachusetts.

  • On average 2 people a day die of an opiate overdose in Massachusetts.

  • New England’s opiate use is 35% higher than the rest of the US.

  • In 2008 a reported 644 people died from drug overdose.

  • The Narcan program in MA has reversed

  • over 500 overdoses.

  • The 500 overdose reversals were primarily done

  • by active drug users to other active drug users.



Fentanyl and Methadone are synthetic opioids (man-made)

  • Fentanyl and Methadone are synthetic opioids (man-made)

  • Heroin, Percoset, Vicodin and Oxycontin are semi-synthetic opioids

  • Opiates and Opioids are used for primarily pain management

  • Used for people with chronic pain (ex. cancer or HIV/AIDS)

  • Easily and widely abused



Benzodiazepines (Xanax, Klonopin, Ativan, valium etc.,)

  • Benzodiazepines (Xanax, Klonopin, Ativan, valium etc.,)

  • Clonidine

  • Neurontin

  • Cocaine

  • Alcohol

  • Marijuana

  • Meth, Ecstasy, Acid, Mushrooms, Special K, Inhalants

  • Adderall, Ritalin

  • Cough syrup and cough medicine

  • Motion sickness pills



Disfigurement from long-time use.

  • Disfigurement from long-time use.

  • Severe health issues such as depression, anxiety, panic disorder, HIV/AIDS, Hepatitis A, B, C.

  • Criminal record.



Overdose related health issues.

  • Overdose related health issues.

  • Fatal overdose of friends, family etc,.



Too much of a drug

  • Too much of a drug

  • Shuts down your bodies main functions

  • Heart

  • Lungs

  • Brain

  • Liver

  • Unconscious for a long period of time but not knowing how long

  • Black-out

  • Falling out on a hand, arm, leg etc., causing loss of circulation



Abstinence

  • Abstinence

  • Don’t Mix

  • Be careful after a period of not using

  • Getting out of jail or drug treatment

  • Never use alone

  • Know what you are taking



Not breathing

  • Not breathing

  • Irregular breathing

  • Turning blue

  • Shaking

  • Sweating

  • Seizure

  • Can’t wake up

  • Can’t talk

  • Can’t hear

  • Not responding to pain



Are you ok?

  • Are you ok?

  • Check for breathing

  • Sternum or Sternal Rub

  • If no response call 9-1-1

  • If they respond try to keep them talking

  • No food or water

  • Put them on their side in the recovery position

  • If they do not respond do rescue breathing

  • If you leave the scene make sure you have put them on their side















Medication to reverse an OPIOID overdose

  • Medication to reverse an OPIOID overdose

  • Blocks the drug for 20-90 minutes

  • Starts the person breathing

  • Works 100% if heart is beating

  • Does not work on other types of drugs







You want Paramedics or Advanced Life Support

  • You want Paramedics or Advanced Life Support

  • Calling 9-1-1 will alert medical, fire and police

  • Overdose is not a priority call, respiratory arrest is.

  • “Someone here has stopped breathing.”



Fear

  • Fear

  • Drugs on them

  • Guns/Weapons

  • Warrants

  • Don’t care

  • Don’t want people to know they use.

  • Section 8

  • Children



Stay calm

  • Stay calm

  • Get people out of the house that do not need to be there

  • Leave a door open so they can get in

  • If you are giving the person rescue breathing let the medical people take over



Body language

  • Body language

  • Stay calm, don’t make sudden moves

  • Keep your hands where they can be seen

  • What you say CAN be used against you, even if you are not arrested.

  • DO NOT RUN

  • DO NOT touch the officer



Knowingly being present

  • Knowingly being present

  • Possession

  • School zone violation

  • Conspiracy to violate drug laws

  • Voluntary manslaughter (if someone dies)

  • Lying to police/giving a fake name

  • Probation/Parole Violation

  • “Known drug user”



What does it feel like to see an overdose?

  • What does it feel like to see an overdose?

  • Who would you talk to if you see something like this?

  • Who would you talk to if you overdose or a family member overdoses?

  • Do you have any questions, comments or concerns?



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