/ Surviving Opioid Overdose with Naloxone Education and Resuscitation - The Co-design of a First Aid Toolkit for Opiate Overdose
/ Collaborators: Dr. Kate Sellen, Dr. Aaron Orkin, Dr. Carol Strike, Sr. Doug Campbell, Dr. Laurie Morrison, Dr. Peter Juni, Dr. Janet Parsons
/ Sponsor(s): Canadian Institutes of Health Research, St. Michael's Hospital, Toronto Public Health, Mount Sinai Hospital
Key Words: Addiction, Mental Health, Basic Life Support, Design Thinking, Emergency Medicine, Resuscitation, Family Medicine, Harm Reduction, Overdose Prevention, Naloxone, Opioids
The SOON-ER project aims to design an evidence-based Overdose Education and Naloxone Distribution (OEND) first aid toolkit, to be offered in a range of settings, that allows for ultra-brief training of overdose first aid for potential lay responders with nasal naloxone.
Background: Overdose from opioids such as oxycodone, fentanyl, and heroin are now responsible for over 100,000 deaths per year worldwide. Overdoses in Ontario result in more years of life lost than HIV, pneumonia, or influenza.
Need or Problem: Expanding overdose first aid education and naloxone distribution (OEND) to a wider range of settings (such as family medicine, addiction clinics, and emergency departments) could increase the number of potential lay responders reached by OEND programs.
OCAD University led the design phase of the SOON-ER project, addressing the need for an integrated design approach to expanding lay response to overdose, addressing stigma, and creating a open design that can easily be shared and replicated.
The design process included extensive community and stakeholder engagement in iterative workshops over 9 months, engaging over 100 community member and clinicians.
The result was the development of an ultra-brief first aid training animation and the creation of a toolkit with nasal naloxone for lay response to overdose, that can be manufactured locally. Key aspects of the design process addressed the context of overdose, stigma, and marginalization.
Currently the toolkit is being tested against existing training and access. The success of patient responses to opioid overdose situations will be evaluated and compared in simulated overdose situations.
Project results from SOON-ER are already being translated to provincial and national initiatives on overdose.