Study | Setting | Mean age of EMS patients (years) | n, EMS treatment group | % female EMS patients | Culprit opioid | Intervention | Primary outcome | Secondary outcome | Deaths within 48 hours |
Levine et al 7 | US EMS/LAFD | 41 | 205 | 13 | Heroin | Naloxone with release | Death within 24 hours | Death with in 30 days | 1 |
Boyd et al 6 | Helskinki EMS | 26 | 71 | 17.2 | Heroin | Naloxone with release | Death within 12 hours | Rebound toxicity | 0 |
Rudolph et al 10 | Copenhagen MECU | – | 2241 | – | Heroin/morphine | Naloxone with release | Death within 48 hours | Death likely to rebound toxicity | 3 |
Vilke et al 9 | US EMS/SDFD | 39.8 | 317 | 16.3 | Heroin | Naloxone with release | Death within 12 hours | N/A | 0 |
Vilke et al 13 | US EMS/SDFD | 37.7 | 998 | 16.7 | Heroin | Naloxone with release | Death within 12 hours | N/A | 0 |
Wampler et al 14 | US EMS/SAFD | 38 | 552 | 28 | Heroin/methadone | Naloxone with release | Death within 48 hours | Death with in 30 days | 0 |
Heyerdahl et al 26 | Oslo EMS, outpatient clinic and ED | 34 | 528 | 31 | Heroin | Naloxone with release | Death due to rebound in 1 week | N/A | 0 |
ED, emergency department; EMS, emergency medical service; LAFD, Los Angeles Fire Department; MECU, Mobile Emergency Care Unit; SAFD, San Antonio Fire Department; SDFD, San Diego Fire Department. N/A, not applicable.