Substance Abuse Discussion Continues — Berwyn Fire Company EMS Captain weighs in

Substance abuseContinuing the substance abuse discussion, Berwyn Fire Company EMS Capt. Michael Baskin provides background about Narcan and its use in heroin overdose situations. Important contact information is provided at the end of his remarks.

As a resident, it is reassuring to know that the local fire company and police department personnel are trained and equipped to handle drug abuse situations.  Discussions about drugs and their consequences are extremely important — perhaps a community forum with the school administration, police department, fire company, parents and residents.

Pattye,
Thank you for bringing some of these concepts to the forefront of your community readers.

Naloxone, also known as Narcan, is a medication used in opioid overdoses to counteract life-threatening depression of the central nervous system and respiratory system. If administered early enough, an overdose victim will begin to get a respiratory drive back, and shortly after become alert and aware. Naloxone only works if a person has opioids in their system; the medication has no effect if opioids are absent. There are many drugs that people overdose on that Narcan has no effect on. It is a temporary drug that wears off in 20-90 minutes and therefore anyone who received this drug needs to get to advanced care as the effects of the opioid may return after Narcan wears off.

As was noted, Tredyffrin police have been carrying Narcan for a little while now and have already administered it successfully. Berwyn, Radnor and Malvern fire company paramedics (the 3 primary paramedic providers to T/E) and other services have had Narcan as Advanced Life Support (ALS) providers for decades. As of July 1st, 2015 the Department of Health has allowed for Basic Life Support (BLS) to have access to Narcan in addition to the ALS. Departments across the Commonwealth are going through training now.

From a community approach perspective, the T/E community is well covered with Narcan access in an emergency. In extreme situations, providing rescue breathing and/or CPR to an overdose victim who is not breathing will provide needed oxygen prior to emergency services arriving. The ideal community focus needs to be preventing the need to ever use Narcan. Community, family and professional help should be available to anyone who needs it. Accepting that our community is not immune to these problems is a very big start.

Community education of drug, alcohol, mental illness and suicide prevention is a tremendous help. Acceptance of those who have these problems as a community is what leads us to success. By isolating, hiding, alienating or ignoring people who need guidance, we hurt rather then help this goal.

Here are some useful local numbers:
The Chester County Drug & Alcohol Hotline: 610-344-6620.
Crisis Counseling: 610-280-3270
Chester County Suicide Prevention: 610-344-6265

These numbers are just as much for someone searching for help personally as they are for someone concerned about another.

Respectfully,
Michael S Baskin
EMS Captain, Berwyn Fire Co

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