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The “X-waiver” — prescribing buprenorphine

The “X-waiver” (technically the DATA 2000 waiver) is a process that allows certain medical providers to prescribe buprenorphine for the treatment of opioid use disorder (OUD). The use of buprenorphine (and Suboxone, a combination of buprenorphine and naloxone) is a cornerstone of medication assisted treatment (MAT). While there is a lot of stigma and confusion surrounding the X-waiver (and even more surrounding MAT in general), the process is actually quite simple.

This lesson will discuss the X-waiver — the requirements, the application process, and what comes afterward.

Download the lesson outline, then enjoy the video!

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Compartment Syndrome

Compartment syndrome isn’t often seen in the prehospital setting, but it is a limb-threatening emergency that providers must recognize promptly. Left unchecked, compartment syndrome can even progress to rhabdomyolysis, putting the kidneys at risk of permanent damage.

This lesson will discuss compartment syndrome — the risk factors, the mechanisms, and how to treat it.

Download the lesson outline, then enjoy the video!

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Hyperthermia & Heat-Related Illness

Summer is upon us and prehospital providers are likely to see more patients suffering from heat-related illness. The most serious heat-related illness — heat stroke — has a mortality rate of up to 30%, so it’s important that we’re prepared to treat hyperthermic patients.

This lesson will discuss heat stroke — the different types, how to diagnose it, and how to treat it, including some of evidence-based patient cooling strategies.

Download the lesson outline, then enjoy the video!

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Diabetic Ketoacidosis

Did you know that in a span of just 21 years, hospital admissions for diabetic ketoacidosis (DKA) in the United States nearly doubled? As prehospital providers there’s a very good chance that we’re going to have patients who are suffering from DKA. DKA is one of those unique diseases that can be deadly if untreated, but if the patient receives proper care mortality is less than 1%.

Join us in our lesson on DKA, including the basics of cellular energy, what causes DKA, how to diagnose it, and how to treat it.

Download the lesson outline, then enjoy the video!

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Treatment of Opioid Overdose

Many prehospital providers have the same burning questions — What exactly is an opioid? Which drugs are and aren’t opioids, again? Can you give too much naloxone? Treating an opioid overdose can actually be very simple once you understand what’s going on inside the body. Join us as we talk about how opioids work, how antagonists work, and how to safely and effectively treat a patient with an opioid overdose.

Part 1 of this lesson covers opioids and their molecular mechanisms. Part 2 of this lesson covers the treatment of opioid overdoses.

Download the lesson outline, then enjoy the video!