Total Overdose Trainer 12
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Overdose deaths involving opioids in the USA have skyrocketed 41.5% since 2010 [1], with a provisional count of over 47,105 deaths from August 2018 to August 2019 [2]. Synthetic opioids, particularly fentanyl, have driven deaths in recent years due to their high potency and low overdose threshold. Indeed, death statistics in Missouri suggest over 75% of fatal opioid overdoses involved fentanyl in 2018 [3].
In Missouri, emergency medical services (EMS) personnel and law enforcement officers (LEOs) are called to respond to the increasing numbers of opioid overdoses. Emergency responders report frequent occupational safety concerns related to illicit drug use [4]. One common fear is needle stick injury and the subsequent potential risk of contracting infectious diseases [5]. Additionally, emergency responders express concern for their own safety during overdose reversals, including purported instances of aggression and combativeness on the part of the survivor [6, 7].
With the relatively recent surge in fentanyl-related overdoses, a new occupational safety concern has emerged among emergency responders: the fear of overdosing from touching fentanyl [8]. In 2017 alone, over 150 media reports describing first responder exposures to opioids surfaced [9]. Reports of overdose due to fentanyl contact among first responders [10,11,12,13] have been repeatedly refuted by medical experts [14,15,16]. Yet, mixed messages from the US government agencies [17] and their prominence in media outlets have catalyzed the spread of misinformation about the risks of accidental fentanyl contact. The high level of concern about this theoretical threat has been especially stark in the context of the COVID-19 pandemic, particularly in the USA, when police have reportedly expressed comparatively little anxiety about contracting the potentially deadly virus [18].
There has been an increase in products marketed to address the fear of fentanyl, including fentanyl exposure prevention kits [19, 20], gloves marketed to protect against fentanyl [21], other fentanyl-resistant gear and screening devices [22], and fentanyl clean-ups [23]. Additionally, legislators in the USA have proposed the Providing Officers with Electronic Resources (POWER) Act that would fund state and local enforcement agencies to purchase fentanyl screening devices to protect officers from incidental exposure [24]. However, because these screening procedures require the use of class B hazmat suits [25] and other equipment prior to responding to the overdose, these precautions could potentially delay the time-sensitive, lifesaving administration of naloxone and rescue breathing.
[PiZZADOX] . .. p r o u d l y p r e s e n t s .. . * Total Overdose PLUS 7 TRAINER (C) PiZZADOX * Release Date .....: 09-18-05 Disks .....: 01 x 5.00mb Release Type .....: Trainer Options ...: Plus 7 [ R e l e a s e N o t e s ] Unzip/Unrar trainer into your game directory, then start trainer with "pztrain.exe", and finally start the game. During gameplay toggle trainer options by pressing the following key combinations: Hotkey Option F1 Toggle Infinite Health F2 Toggle Infinite Ammo/Grenades F3 Toggle Infinite Adrenalin F4 Toggle Infinite Loco Moves F5 Toggle Get Massive Combo Score* F6 Toggle Get Massive Global Score F7 Toggle One Hit Kill Notes: While In Combo Mode, activate this option and hit an enemy with your elbow. Do NOT activate this option when you are not in Combo Mode. /Team PiZZADOX If you can not, or do not want to respect our work, then do NOT bother posting this info on your site without proper credit where due. " You Get Nothing And You Become Nothing " [ G r e e t i n g s ] PiZZADOX gives away cold beer and fresh PiZZA to our KNOWN friends in PiZZA - FAiRLIGHT - DEViANCE - GiMPSRUS - OUTCAST * B E C A U S E W E C A N * [01-01-03][nfo by nmls]
In 1989, Ernesto Cruz, a deep-cover DEA agent, and a DEA army, attack the military in a jungle to take some information on Papa Muerte. After the attack, Ernesto is thrown from the plane and is killed. Colonel (Commander of Tommy) Trust believes it's a drug overdose. Tommy a high-ranking DEA agent and the son of Ernesto, goes to Mexico and finds Marco, who is his primary contact with Morales Cartel. Tommy destroys a Virgillo gang convoy and their gas station but is seriously wounded by a grenade explosion. Tommy calls his younger brother Ramiro to take the job. Ramiro is a criminal and was sent to prison for many reasons.
Ram then goes to the jungle to Montanez's military base, extracting information about Papa Muerte and the DEA spy. Ram engages and kills Montanez, escaping the jungle. Trust finds out that Papa Muerte had planned to sneak into the DEA and steal the contraband cocaine which the DEA keeps. After stealing they would leave after placing a bomb. Ram goes to Angel's apartment to wait for extraction, only to find Papa Muerte's henchmen trying to kill him. Agent Johnson shows up and reveals himself as the Eagle. He induces Tommy and Trust with a lethal drug overdose. Tommy turns on the microphone, enabling Ram to hear that Johnson had kidnapped Angel and killed their dad. Ram enters the DEA and fights through Papa Muerte's henchmen. He finds the antidote and saves Tommy and Trust. Johnson escapes with Angel on a train. Ram loads the bomb on a train engine and carries it away from the DEA. He escapes the train by jumping onto Johnson's train. Ram fights through the train and comes face to face with Johnson, who separates the coaches from the engine. Two air force Harriers sent by Trust destroy the bridge ahead. Using a bike, Ram destroys Johnson's sentry guns and saves Angel, then they jump over the broken rail just as the train crashes into the canyon, killing Johnson.
To date this year, PrideStar Trinity Emergency Medical Services has responded to more than 1,000 overdose calls in Lowell, with almost 50 of the calls for school-aged children 17 and under, a statistic of 5%.
The majority of the overdoses in teens and young adults ranging in age from 12-17, are usually cases where the overdose was not from the intended drug, Page-Shelton said, but with a drug that has been laced with something else, often highly addictive and potentially deadly opioids.
Narcan quickly reverses the effects of opioids on the body, and can save a life when administered to an individual experiencing an overdose. The drug has no major side effects, and can be administered by members of the public with limited training.
Billerica resident Dina Favreau is the chair of the Billerica Substance Abuse Prevention Committee, which works to reduce community-wide substance-use disorder. Based on her experience, she also believes the majority of the overdoses in the under 17 age group is due to accidental exposure to deadly opiates.
The Front-Line Initiative invites community members to attend free Narcan training on the lifesaving overdose drug during two events at the Public Health Museum, 365 East St., Tewksbury. Classes will be held Thursday, Dec. 15, at 2 p.m., and Saturday, Dec. 17, at 11 a.m. To register, bit.ly/3BzdzyW. For information, contact Maria at mruggiero@tewksbury-ma.gov.
Introduction: Naloxone is a life-saving medication that reverses opioid overdose; naloxone can be provided on a 'take-home' basis so naloxone can be administered outside of the health-care setting. The Overdose Response and Take Home Naloxone (ORTHN) project established a model of care for take-home naloxone (THN) interventions across alcohol and other drug and harm reduction services in NSW, Australia. This paper evaluates the staff training and credentialing program, and examines staff attitudes and perspectives regarding the provision of THN interventions in these settings.
Methods: Staff across seven services were trained through a 'train-the-trainer' credentialing model to deliver ORTHN, including naloxone supply. Staff were surveyed regarding their experience, attitudes and knowledge on THN prior to and after training, and after 6 months. At the 6 months follow up, staff were asked about the interventions they provided, barriers and enablers to uptake, and opinions regarding future rollout.
Results: A total of 204 staff were trained and credentialed to provide the ORTHN intervention. Most (60%) were nurses, followed by needle syringe program workers and allied health/counsellors (32%). Linear and logistic regression analyses indicated that the training program was associated with significant improvements in staff knowledge and attitudes towards overdose and THN; however, only attitudinal improvements were maintained over time. There were high rates of staff satisfaction with the ORTHN intervention and training.
Register for alerts If you have registered for alerts, you should use your registered email address as your username Citation toolsDownload this article to citation manager Alexander Y Walley assistant professor of medicine, medical director of Massachusetts opioid overdose prevention pilot, Ziming Xuan research assistant professor, H Holly Hackman epidemiologist, Emily Quinn statistical manager, Maya Doe-Simkins public health researcher, Amy Sorensen-Alawad program manager et al Walley A Y, Xuan Z, Hackman H H, Quinn E, Doe-Simkins M, Sorensen-Alawad A et al. Opioid overdose rates and implementation of overdose education and nasal naloxone distribution in Massachusetts: interrupted time series analysis BMJ 2013; 346 :f174 doi:10.1136/bmj.f174 BibTeX (win & mac)DownloadEndNote (tagged)DownloadEndNote 8 (xml)DownloadRefWorks Tagged (win & mac)DownloadRIS (win only)DownloadMedlarsDownload Help If you are unable to import citations, please contact technical support for your product directly (links go to external sites):
Naloxone, also called Narcan, can very quickly restore normal breathing for a person whose breathing has slowed down or stopped because of an overdose of prescription opioids or illicit opioids, which includes illicitly manufactured fentanyl and heroin. 2b1af7f3a8