Michael D. White, Seth Watts, and Carlena Orosco are with the Center for Violence Prevention and Community Safety, Arizona State University, Phoenix. Dina Perrone and Aili Malm are with the School of Criminology, Criminal Justice, and Emergency Management, California State University, Long Beach.
Am J Public Health. 2022 Sep;112(9):1326-1332. doi: 10.2105/AJPH.2022.306918. Epub 2022 Jul 21.
To investigate what transpires at opioid overdoses where police administer naloxone and to identify the frequency with which concerns about police-administered naloxone are observed. We reviewed body-worn camera (BWC) footage of all incidents where a Tempe, Arizona police officer administered naloxone or was present when the Tempe Fire Medical Rescue (TFMR) administered it, from February 3, 2020 to May 7, 2021 (n = 168). We devised a detailed coding instrument and employed univariate and bivariate analysis to examine the frequency of concerns regarding police-administered naloxone. Police arrived on scene before the TFMR in 73.7% of cases. In 88.6% of calls the individual was unconscious when police arrived, but 94.6% survived the overdose. The primary concerns about police-administered naloxone were rarely observed. There were no cases of improper naloxone administration or accidental opioid exposure to an officer. Aggression toward police from an overdose survivor rarely occurred (3.6%), and arrests of survivors (3.6%) and others on scene (1.2%) were infrequent. BWC footage provides a unique window into opioid overdoses. In Tempe, the concerns over police-administered naloxone are overstated. If results are similar elsewhere, those concerns are barriers that must be removed. (. 2022;112(9):1326-1332. https://doi.org/10.2105/AJPH.2022.306918).
为了调查警察在实施纳洛酮时的阿片类药物过量事件中发生了什么，并确定观察到对警察实施纳洛酮的担忧的频率。我们回顾了 2020 年 2 月 3 日至 2021 年 5 月 7 日期间，亚利桑那州坦佩市警察在 Tempe 消防医疗救援（TFMR）实施纳洛酮或在场时，所有警察实施纳洛酮的事件（n=168）的随身摄像头（BWC）录像。我们设计了一个详细的编码工具，并采用单变量和双变量分析来检查对警察实施纳洛酮的担忧的频率。在 73.7%的情况下，警察在 TFMR 之前到达现场。在 88.6%的呼叫中，警察到达时个人处于无意识状态，但 94.6%的人幸免于过量。对警察实施纳洛酮的主要担忧很少被观察到。没有发生纳洛酮使用不当或警察意外接触阿片类药物的情况。过量幸存者对警察的攻击很少发生（3.6%），幸存者（3.6%）和现场其他人员（1.2%）被捕的情况也很少见。BWC 录像为阿片类药物过量事件提供了一个独特的视角。在坦佩，对警察实施纳洛酮的担忧被夸大了。如果其他地方的结果相似，那么这些担忧就是必须消除的障碍。（。2022 年；112（9）：1326-1332。https://doi.org/10.2105/AJPH.2022.306918）。
