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Naloxone Administration Route In Opioid Overdose: A Review Of Vermont Ems Data, Alden York Sacco Mph, Chris Lamonda Mph, Michael O'Keefe, Daniel Wolfson Md, Mario Trabulsy Md Jan 2017

Naloxone Administration Route In Opioid Overdose: A Review Of Vermont Ems Data, Alden York Sacco Mph, Chris Lamonda Mph, Michael O'Keefe, Daniel Wolfson Md, Mario Trabulsy Md

Master of Public Health Culminating Projects

Objective: Emergency Medical System (EMS) personnel administer the direct opioid antagonist naloxone in cases of opioid overdose via intramuscular (IM), intravenous (IV), subcutaneous (SQ), intraosseous (IO), or intranasal (IN) routes. Some early studies suggest that the intranasal route of administration is of similar effectiveness to injectable routes. The main objective of our study was to compare the efficacy of intravenous and intraosseous (IV/IO) routes of naloxone administration to the intranasal (IN) route in suspected opioid overdoses in Vermont.

Methods: We reviewed retrospective data from Vermont EMS Statewide Incident Reporting Network (SIREN) between April 2014 and August 2016. We included all …


Expanding Access To Dental Care For Patients On Suboxone, Nathan E. White Jan 2017

Expanding Access To Dental Care For Patients On Suboxone, Nathan E. White

Family Medicine Clerkship Student Projects

Those using Suboxone® for medication-assisted treatment for opioid dependence are at increased risk for poor oral health for a variety of reasons including lifestyle factors, effects of opioids and the direct impact of Suboxone® on the oral environment. Medication assisted addiction treatment programs do not regularly address these concerns. This project aims to educate patients about the importance of oral health, remind providers to screen for dental issues and make referrals for dental care and to promote oral health as an important aspect of well being in this vulnerable population


Promoting Awareness Of The Opioid Epidemic In Rural Vermont, Kathleen Olson Jan 2017

Promoting Awareness Of The Opioid Epidemic In Rural Vermont, Kathleen Olson

Family Medicine Clerkship Student Projects

Vermont is in the middle of an opioid epidemic. Heroin use fatalities are on the rise and the number of people in treatment for opioid use disorder in Rutland County has tripled in recent years. Despite this widespread problem, community members of Rutland County feel that there is reluctance to talk about opioid misuse and lack of awareness. This project aims to bring awareness, provide resources, and encourage people struggling with opioid use disorder to seek treatment.


Addiction Recovery Support: Connecting Primary Care Providers And Community Resources, Amber J. Meservey Jan 2017

Addiction Recovery Support: Connecting Primary Care Providers And Community Resources, Amber J. Meservey

Family Medicine Clerkship Student Projects

Addiction to drugs and alcohol is a pervasive problem throughout Vermont and the U.S., and only a fraction of those needing help receive it. The vast majority of admissions to substance abuse treatment programs do not come from healthcare providers, who report a lack of preparedness in managing addiction screening and referrals. Recognizing that Family Medicine Providers are likely to be caring for many patients struggling with substance abuse, this project aims to improve provider familiarity with local resources. In particular, this project focuses on promoting long-term retention in self-help group programs, as these have been demonstrated to be the …