Davis Charles R, Schinella Margot
Student Health Service, Vassar College, 124 Raymond Ave., Box 17, Poughkeepsie, NY, 12604, USA.
J Community Health. 2024 Jun;49(3):568-574. doi: 10.1007/s10900-023-01322-5. Epub 2024 Jan 24.
For more than two decades there has been a continuous rise in opioid overdose related deaths. The majority of the deaths include the age range when, traditionally, individuals are likely to attend college or university. As a result, Vassar College has taken the important initiative and created and implemented a new opioid overdose intervention strategy and action plan called AED+. AED+ expands on the Model of Greater Awareness, Training and Increased Availability of and Accessibility to Life Saving Intervention Devices; a model that was created based on AED devices improving outcomes of out-of-hospital cardiac arrest emergencies. Similar to AED's improving out-of-hospital cardiac arrest outcomes, the + component of the AED+ initiative increases awareness and provides basic, targeted education about naloxone and its use. Furthermore, the education includes information about naloxone's greater availability and its more immediate access across the campus by students, staff, faculty, administrators, and visitors in the event of a suspected opioid overdose. Starting in May 2023, members of the school's Health Service and senior administrative leaders identified it necessary to be proactive and not reactive to managing an opioid overdose in the campus community. Although Vassar College has not recently experienced an opioid overdose, it is confidently projected that these targeted actions will proactively and positively reduce the likelihood of opioid-related fatalities on campus. Furthermore, it is the purpose of this article to share the AED+ model so other colleges and universities can modify it to best fit their unique setting in order to improve opioid overdose outcomes.
二十多年来,与阿片类药物过量相关的死亡人数持续上升。大多数死亡发生在传统上人们可能上大学的年龄范围内。因此,瓦萨学院采取了重要举措,制定并实施了一项名为AED+的新的阿片类药物过量干预策略和行动计划。AED+扩展了提高认识、培训以及增加救生干预设备的可获得性和可及性的模式;该模式是基于自动体外除颤器(AED)改善院外心脏骤停紧急情况的结果而创建的。与AED改善院外心脏骤停结果类似,AED+倡议中的“+”部分提高了认识,并提供了关于纳洛酮及其使用的基础、有针对性的教育。此外,该教育还包括有关纳洛酮在校园内更易获取以及在疑似阿片类药物过量事件中,学生、教职员工、管理人员和访客能更迅速获取的信息。从2023年5月开始,学校健康服务部门的成员和高级行政领导认为,在校园社区管理阿片类药物过量问题时,有必要积极主动而非被动应对。尽管瓦萨学院最近没有发生过阿片类药物过量事件,但可以有信心地预计,这些有针对性的行动将积极主动地降低校园内与阿片类药物相关的死亡可能性。此外,本文的目的是分享AED+模式,以便其他学院和大学可以对其进行修改,以最适合其独特的环境,从而改善阿片类药物过量的结果。