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Opioid overdose — ABEM Board MCQ

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EasyToxicologyOpioid overdoseABEM Board

A 27-year-old man is found apneic as triage level 1 after suspected fentanyl use. He has pinpoint pupils, oxygen saturation 62%, and a palpable pulse. Which of the following is the most appropriate initial action?

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Correct answer: C — Bag-valve-mask ventilation followed by titrated naloxone

Opioid poisoning with apnea requires immediate ventilation; naloxone should be titrated to restore adequate respirations.

Reference: ACEP opioid guidance; ABEM EM Model