Smyser Paul A, Lubin Jeffrey S
a Penn State Milton S. Hershey Medical Center , Department of Emergency Medicine, Division of Prehospital and Transport Medicine , Hershey PA , USA.
Am J Drug Alcohol Abuse. 2018;44(2):244-251. doi: 10.1080/00952990.2017.1339053. Epub 2017 Jun 30.
Recent legislation in Pennsylvania allows police officers to administer naloxone to individuals in an opioid overdose. Pressure has subsequently been placed on police departments to adopt naloxone programs.
To survey Pennsylvania Chiefs of Police regarding potential obstacles to officer-administered naloxone, and their overall opinion toward such programs.
A confidential survey was administered at the Annual Conference for the Pennsylvania Chiefs of Police Association and online over the organization's listserv. Respondents rated their level of concern toward four potential obstacles on a Likert scale from 1 to 5. A fifth question asked the degree to which they agree that the benefits of naloxone programs outweigh the risks.
Of 180 attendees, 36 Chiefs of Police responded at the conference and 48 to the online survey. The potential agitation of revived victims was their largest reported concern, with 60% responding either a 4 or 5; this was followed by officers correctly identifying situations to use naloxone (42%), the cost of the medication (38%), and the additional administrative duties of the department (32%). Overall 60% responded they "Strongly Agree" or "Agree" the benefits of naloxone programs outweigh the risks, while 23% responded "Strongly Disagree" or "Disagree." No significant differences were seen when separating participants from rural and urban counties or from counties with high, medium, and low rates of overdose fatalities.
The results suggest that although a significant subset shows concern for the above obstacles, the majority of Chiefs of Police believe that the benefits of equipping officers with naloxone outweigh the risks.
宾夕法尼亚州最近的立法允许警察对阿片类药物过量的个人使用纳洛酮。随后，各警察部门面临着采用纳洛酮项目的压力。
就警察使用纳洛酮的潜在障碍以及他们对这类项目的总体看法，对宾夕法尼亚州的警察局长进行调查。
在宾夕法尼亚州警察局长协会年会上以及通过该组织的邮件列表进行了一项保密调查。受访者用1至5的李克特量表对他们对四个潜在障碍的担忧程度进行评分。第五个问题询问他们在多大程度上同意纳洛酮项目的益处大于风险。
在180名与会者中，有36名警察局长在会议上做出回应，48名参与了在线调查。报告中他们最担心的是苏醒受害者的潜在激动情绪，60%的人给出了4或5的评分；其次是警察正确识别使用纳洛酮的情况（42%）、药物成本（38%）以及部门额外的行政职责（32%）。总体而言，60%的人回应称他们“强烈同意”或“同意”纳洛酮项目的益处大于风险，而23%的人回应“强烈不同意”或“不同意”。将参与者按来自农村和城市县或按过量用药致死率高、中、低的县进行划分时，未发现显著差异。
结果表明，虽然有相当一部分人对上述障碍表示担忧，但大多数警察局长认为为警察配备纳洛酮的益处大于风险。
