Seizing child recieving IN treatmentTherapeutic Intranasal Drug Delivery

Needleless treatment options for medical problems

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EMS (ambulance) training materials:

 

On Line EMS protocols involving IN therapy:

PDF of the New South Wales protocol (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)

Clark County Nevada (Las Vegas) EMS protocols including intranasal medication delivery as an intermediate skill - Sept 2010 update

Contra Costa EMS update 2010 (Intranasal naloxone comments on pp 38-50)

A Call for Widespread Application of Intranasal Medication Delivery in the Prehospital Environment

November 2008: Abstracted results of now completed Australian intranasal naloxone trial (Click here)

Intranasal naloxone blog interview with Debra Kerr - researcher using IN naloxone (click here)

BioTel (Dallas TX) presentation on EMS use of fentanyl and midazolam

EMS Review article on IN drug therapy

JEMS review article 2003 (Click Here)

Power point slide presentation - Intranasal medication delivery in EMS

EMS teaching slide sets with audio embedded

Intranasal drug delivery - General principles (20 minutes)
Intranasal drug delivery - Clinical application (30 minutes)
Updated November 2012 slide sets:
Intranasal medications for Prehospital care
Intranasal medications for Prehospital care (abridged)
Intranasal medications for Trauma and Prehospital care (abridged )
Intranasal medications for rural and remote medicine (abridged)
Older slide sets

Download EMS Intranasal POWER Point file (click here) (PPT 2.4 MB)

Contra Costa EMS update 2010 (Intranasal naloxone comments on pp 38-50) (PDF 3.8 MB)

The nose knows - cost effectiveness of intranasal therapies (PDF Powerpoint 2.2 MB)

Dyer, Snuffing out the overdose: The Boston BLS nasal naloxone program (11 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)

Intranasal Versed usage - Paramedic perception of Utility in urban EMS system (Columbus OH)(PDF)

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)

Intranasal naloxone use by EMS (ALS and BLS) in Boston MAD (PDF slides)

Intranasal naloxone use by BLS providers in Boston from 2005 to 2009 (PDF slides)

Acute pain: Intranasal therapy in EMS

Nasal fentanyl for pre-hospital pain - teaching document  (click here) (MS Word 0.05 MB)

Nasal fentanyl for pre-hospital pain - Quiz  (click here) (MS Word 0.05 MB)

Nasal fentanyl for pre-hospital pain - Quiz answer key  (click here) (MS Word 0.05 MB)