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)
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)
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 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)
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 0.05 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)
Therapeutic
Intranasal Drug Delivery