Intranasal naloxone protocol for opiate overdoses:
Indications:For use on patients suspected of opiate overdose
If no arousal occurs after 5-10 minutes, proceed down standard unconscious protocol including injectable naloxone and secure airway if necessary.
Comment: Most "failures" of IN naloxone are due to being in a hurry to see the patient wake up. IN naloxone takes 3-5 minutes to begin working. The patients often just breath but do not come up crazy so do not always expect full arousal. (The goal is breathing)
Comment 2: IN naloxone is now being used at a BLS, law enforcement and layperson level with good success.