BLS Suspected Opioid Poisoning Algorithm

This page details the BLS Suspected Opioid Poisoning Algorithm. It provides step-by-step guidance for recognizing and responding to opioid overdoses, including the administration of naloxone and performing CPR. The guide aims to equip healthcare professionals and laypersons with the knowledge to effectively manage opioid poisoning emergencies. Clear instructions and visual aids ensure accurate application of the algorithm.

BLS Opioid Overdose Response Algorithm

• Determine responsiveness; if unresponsive, call for help, contact EMS, and obtain naloxone and an AED.
• If Breathing Effectively:
  • Provide stimulation and airway support.
  • Continuously monitor until EMS arrives.
  • Administer naloxone if indicated.
• Palpable pulse? If Pulse is Present but Breathing is Ineffective or Absent:
  • Stimulate the victim.
  • Begin rescue breathing.
  • Administer naloxone.
• Give 2 mg of naloxone intranasally or 0.4 mg intramuscularly.
  • Consider additional doses every 4 minutes if needed.
• If No Pulse is Detected:
  • Start CPR immediately.
  • Follow the BLS Cardiac Arrest Algorithm.
  • Use naloxone as per the overdose protocol.