A 36-year-old man is found unresponsive in a restroom. Triage acuity is ESI 1; RR 6/min, SpO2 78%, HR 54/min, BP 104/62 mm Hg. Pupils are pinpoint

Question

A 36-year-old man is found unresponsive in a restroom. Triage acuity is ESI 1; RR 6/min, SpO2 78%, HR 54/min, BP 104/62 mm Hg. Pupils are pinpoint and there are needle tracks. Bag-mask ventilation has been started. Which of the following is the most important immediate intervention?

Accepted Answer

Administer naloxone titrated to adequate ventilation

Answer

Administer beta-blocker therapy

Answer

Perform gastric lavage before ventilation

Answer

Give flumazenil as first-line antidote

Answer

Wait for urine toxicology results

Opioid overdose — ABEM Board MCQ

A 36-year-old man is found unresponsive in a restroom. Triage acuity is ESI 1; RR 6/min, SpO2 78%, HR 54/min, BP 104/62 mm Hg. Pupils are pinpoint and there are needle tracks. Bag-mask ventilation has been started. Which of the following is the most important immediate intervention?