Sitting in a brightly lit room next to four strangers at AIDS Vancouver IslandB次元官网网址檚 newest health clinic on Jacklin Road, a number of supplies sit scattered on the table.
There are syringes, three vials, a face shield and blue gloves B次元官网网址� all supplies participants hope theyB次元官网网址檒l never have to use, but must be prepared to utilize in a life-and-death situation.
The supplies are part of a small black naloxone kit distributed by the B.C. Centre for Disease ControlB次元官网网址檚 Take Home Naloxone program to administer should someone overdose, and were free during a training session at the health clinic last week.
But to say injecting naloxone (AKA narcan, a temporary opioid blocker) is easy, would be an overstatement.
ThereB次元官网网址檚 a checklist of things to run through in oneB次元官网网址檚 mind to keep someone who is overdosing alive B次元官网网址� at least long enough for paramedics to get there B次元官网网址� and is a skill many people are becoming familiar with.
B次元官网网址淚n light of whatB次元官网网址檚 going on and the [opiod] crisis, itB次元官网网址檚 really great for people to know. It helps break down the stigma associated with drug use, overdose and fentanyl, and helps people think about it in a different context,B次元官网网址� said Kim Toombs, a harm reduction counsellor with AIDS Vancouver Island who runs on-demand naloxone training sessions around Greater Victoria. B次元官网网址淚f you run into the situation, you want to have the tools. You want to know how to respond.B次元官网网址�
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Toombs said the number of people taking naloxone training from all walks of life has increased significantly in the last few years, and itB次元官网网址檚 not hard to see why.
According to the B.C. Coroners Service, more than 1,200 people have died from illicit drug overdoses so far this year in the province, with the highest rates in Vancouver, Surrey and Victoria. In 2017, there have been 198 illicit drug overdoses on Vancouver Island between January and October.
Eighty-seven per cent of illicit drug overdose deaths occurred inside in private residences or other locations, and 12 per cent occurred outside in vehicles, sidewalks, streets or park.
Even in Greater Victoria, Toombs has trained software developers who see people overdose in backalleys, bar staff and security companies, as well as bakery staff and coffee shop employees who could find people overdosing in washrooms.
B次元官网网址淚tB次元官网网址檚 much more broad, people in general want to get trained. They could have no connection to it but they want to get trained,B次元官网网址� said Toombs, who has had to administer naloxone countless times and noted practice is the important.
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The key to responding to an overdose is the acronym, SAVE ME, which stands for stimulate, airway, ventilate, evaluate, muscular injection and evaluate. The first step is checking to see if the person is responsive, by calling their name or moving their foot. If they are unresponsive to pain and are not breathing, they could be suffering an overdose, at which point 911 should be called.
The most important step, said Toombs, is breathing for someone through the face shield, which could be more effective than the naloxone itself. During an overdose, the brain forgets to fire the signals for a person to breathe, which can cause brain damage and increase the risk of cardiac arrest.
First do a sweep of the mouth to ensure there is nothing blocking their airway. Then insert the face shield and begin breathing into their mouth B次元官网网址� one breath of air for every five seconds for the next 30 seconds for the entire process.
If they are still not breathing, next comes the naloxone injection which must be inserted into their thigh, buttock or deltoid (the uppermost part of the arm). The drug takes about three to five minutes to kick in, during which time you should continue to breathe for that person through the face shield while preparing the next dose for injection.
Finally, check to see if there is any change. If not, another injection could be necessary, said Toombs, noting sheB次元官网网址檚 had to administer naloxone as many as three to four times before there is a change.
Another important aspect is interacting with someone once they wake up. Toombs said compassion is key and will go a long way, especially when the person may feel embarassed, confused or angry about overdosing.
To gets hands-on experience at a naloxone training session in the West Shore, go to Island HealthB次元官网网址檚 public health unit on Wale Road or visit and search for training in any B.C. community. People can also complete new training online and on their mobile device at .
kendra.wong@goldstream
