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Journal Article

Citation

White MD, Watts S, Orosco C, Perrone D, Malm A. Am. J. Public Health 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, American Public Health Association)

DOI

10.2105/AJPH.2022.306918

PMID

35862885

Abstract

OBJECTIVEs. To investigate what transpires at opioid overdoses where police administer naloxone and to identify the frequency with which concerns about police-administered naloxone are observed.

METHODS. We reviewed body-worn camera (BWC) footage of all incidents where a Tempe, Arizona police officer administered naloxone or was present when the Tempe Fire Medical Rescue (TFMR) administered it, from February 3, 2020 to May 7, 2021 (nā€‰=ā€‰168). We devised a detailed coding instrument and employed univariate and bivariate analysis to examine the frequency of concerns regarding police-administered naloxone.

RESULTS. Police arrived on scene before the TFMR in 73.7% of cases. In 88.6% of calls the individual was unconscious when police arrived, but 94.6% survived the overdose. The primary concerns about police-administered naloxone were rarely observed. There were no cases of improper naloxone administration or accidental opioid exposure to an officer. Aggression toward police from an overdose survivor rarely occurred (3.6%), and arrests of survivors (3.6%) and others on scene (1.2%) were infrequent.

CONCLUSIONS. BWC footage provides a unique window into opioid overdoses. In Tempe, the concerns over police-administered naloxone are overstated. If results are similar elsewhere, those concerns are barriers that must be removed. (Am J Public Health. Published online ahead of print July 21, 2022:e1-e7. https://doi.org/10.2105/AJPH.2022.306918).


Language: en

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