EMS (ambulance) training materials:
On Line EMS protocols involving IN therapy:
New South Wales EMS protocol for seizures (click here)
Fresno California EMS protocol for seizures (click here) (Editors note - this protocol uses too low a dose of midazolam and needs revision based on efficacy, safety and dosing data from other pre-hospital studies - see Australian data directly below noting the need for proper weight based dose to achieve optimal results)
Australian community utilization of IN midazolam for seizures (click here)
A Call for Widespread Application of Intranasal Medication Delivery in the Prehospital Environment
Seizure case treated with Intranasal midazolam by parents with EMS in attendance
November 2008: Abstracted results of now completed Australian intranasal naloxone trial (Click here)
EMS Review article on IN drug therapy
JEMS review article 2003 (Click Here)
Power point slide presentation - Intranasal medication delivery in EMS
Download EMS Intranasal POWERPoint file (click here) (PPT 2.4 MB)
Acute seizure: Intranasal Therapy in EMS
Nasal Midazolam (Versed) for pre-hospital seizure therapy - teaching document (click here) (MS Word 0.15 MB)
Nasal Midazolam for pre-hospital seizure therapy - Quiz (click here) (MS Word 0.04 MB)
Nasal Midazolam for pre-hospital seizure therapy - Quiz answer key (click here) (MS Word 0.03 MB)
Acute opiate/heroin overdose: Intranasal therapy in EMS
Nasal Naloxone (Narcan) for pre-hospital opiate overdose - teaching document (click here) (MS Word 0.12 MB)
Nasal Naloxone (Narcan) for pre-hospital opiate overdose - Quiz (click here) (MS Word 0.05MB)
Nasal Naloxone (Narcan) for pre-hospital opiate overdose - Quiz answer key (click here) (MS Word 0.03 MB)
Acute pain: Intranasal therapy in EMS
Nasal fentanyl for pre-hospital pain - teaching document (click here) (MS Word 0.0 MB)
Nasal fentanyl for pre-hospital pain - Quiz (click here) (MS Word 0.0 MB)
Nasal fentanyl for pre-hospital pain - Quiz answer key (click here) (MS Word 0.0 MB)
Therapeutic
Intranasal Drug Delivery