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首页> 外文期刊>Prehospital emergency care >National Systematic Legal Review of State Policies on Emergency Medical Services Licensure Levels' Authority to Administer Opioid Antagonists
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National Systematic Legal Review of State Policies on Emergency Medical Services Licensure Levels' Authority to Administer Opioid Antagonists

机译：国家系统政策的国家制度法律审查，急救医疗服务执照水平管理阿片类药物拮抗剂

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Objective: Previous research conducted in November 2013 found there were a limited number of states and territories in the United States (US) that authorize emergency medical technicians (EMTs) and emergency medical responders (EMRs) to administer opioid antagonists. Given the continued increase in the number of opioid-related overdoses and deaths, many states have changed their policies to authorize EMTs and EMRs to administer opioid antagonists. The goal of this study is to provide an updated description of policy on EMS licensure levels' authority to administer opioid antagonists for all 50 US states, the District of Columbia (DC), and the Commonwealth of Puerto Rico (PR). Methods: State law and scopes of practice were systematically reviewed using a multi-tiered approach to determine each state's legally-defined EMS licensure levels and their authority to administer an opioid antagonist. State law, state EMS websites, and state EMS scope of practice documents were identified and searched using Google Advanced Search with Boolean Search Strings. Initial results of the review were sent to each state office of EMS for review and comment. Results: As of September 1, 2017, 49 states and DC authorize EMTs to administer an opioid antagonist. Among the 40 US jurisdictions (39 states and DC) that define the EMR or a comparable first responder licensure level in state law, 37 states and DC authorize their EMRs to administer an opioid antagonist. Paramedics are authorized to administer opioid antagonists in all 50 states, DC, and PR. All 49 of the US jurisdictions (48 states and DC) that define the advanced emergency medical technician (AEMT) or a comparable intermediate EMS licensure level in state law authorize their AEMTs to administer an opioid antagonist. Conclusions: 49 out of 52 US jurisdictions (50 states, DC, and PR) authorize all existing levels of EMS licensure levels to administer an opioid antagonist. Expanding access to this medication can save lives, especially in communities that have limited advanced life support coverage.
机译：目的：以前在2013年11月进行的研究发现，美国（美国）的国家和地区有限，授权应急医疗技术人员（EMTS）和应急医疗响应者（EMRS）来施用阿片类药物。鉴于表述相关的过度和死亡人数的持续增加，许多国家已经改变了他们的政策，以授权emts和EMR来施用阿片类药物。本研究的目标是提供对EMS许可级别的政策的更新描述，以向所有50个美国，哥伦比亚地区（DC）和波多黎各（公关）的联邦向所有50个美国施用阿片类药物的敌方敌人。方法：使用多层方法来系统地审查国家法律和实践范围，以确定每个州的法律定义的EMS许可水平及其泌尿外脂拮抗剂的权力。国家法律，国家EMS网站和国家EMS实践文件的范围是使用Google高级搜索使用布尔搜索字符串搜索和搜索。审查的初步结果被发送到EMS的每个州办事处，以审查和评论。结果：截至2017年9月1日，49个州和直流授权EMT以管理阿片类药物。在40个美国司法管辖区（39个州和DC）中，定义EMR或与国家法律中的比较响应者执照水平，37个州和直流授权其EMRS管理阿片类药物。护理人员有权在所有50个州，DC和PR中施用阿片类药物。美国司法管辖区（48个州和DC）的所有49个定义了先进的紧急医疗技术人员（AEMT）或国家法律中的可比较中级EMS许可证级别授权他们的AEMTS管理阿片类药物。结论：52名美国司法管辖区（50个州，DC和PR）中有49名授权所有现有的EMS许可水平，以管理阿片类药物。扩大对此药物的访问可以挽救生命，特别是在具有有限的寿命支持覆盖范围内的社区。

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