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radars system methadone study

2. Organization of RADARS

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radars system methadone study

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    1. RADARSŽ SystemMethadone Study Richard C. Dart, MD, PhD Director, RADARSŽ System, Denver Health Professor, University of Colorado School of Medicine

    2. 2 Organization of RADARSŽ System The RADARS System has at least one system active in 854 of the 930 3 digit zip codes in the United States. 792 of 854 (93%) had evidence of drug abuse activity.

    3. Methadone Overview RADARSŽ System

    4. Abuse/Misuse/Diversion Rates per 1,000 URDD

    5. Who Abuses Methadone?

    7. Methadone Mortality Data RADARSŽ System

    8. RADARS System Poison center “associated medical outcome” Data collected from 2003 – 2006 11 of 60 US centers (18%) in 1st quarter 2003 43 of 60 US centers (72%) in 4th quarter 2006 132 deaths associated with methadone Deaths underestimated Center participatation is voluntary Poison centers not always contacted

    9. Death Rates per 1,000 URDDReported to RADARS Poison Centers

    10. Methadone Deaths by Age Group2003 – 2006

    11. Opioid Rx Pediatric ExposuresRADARS Poison Centers 2003 - 2006

    12. Methadone Pediatric Deaths

    13. Reported Source of Methadone Methadone Deaths, 2003 – 2006

    14. Methadone FormulationsMethadone Deaths, 2003 – 2006

    15. Exposure ReasonMethadone Deaths, 2003 – 2006

    16. Involvement of Multiple DrugsMethadone Deaths, 2003 – 2006

    17. Summary All RADARS System indicate abuse of methadone occurs. Methadone has the highest rate of deaths by patients filling a prescription Deaths do not appear to be rising Most patients “found down”

    18. Summary Age groups 0-5 yrs and all adults involved Liquid and wafer preparations are involved, but are unusual Multiple drugs are usually involved There is evidence of abuse in many cases. Next steps Near miss approach

    20. Primary Source of Prescription Drug Diversion

    21. Primary Source ofPrescription Opioids

    22. Four Views on Prescription Drug Abuse

    23. Methadone Death DetailsExample DR Calling 21 YO Male Partying ( etoh - methadone) - Got ride home 3 AM (Sunday) Girlfriend fell asleep 6 AM - girl woke up 1 PM - time frame between 1 PM - 4:30 PM-vague ? frothy & blue CPR - medic's arrived on scene (4:30 PM) blue no pulse- intubated gave atropine- Epi brought back rhythm - PH 6.76 CO2-85 O2-76 UDS - ETOH negative 16 hrs later ( REC machinery may not have been set low enough to detect at time point- or may….

    24. RADARS System College Survey Abuse or Misuse by Endorsers of Abuse

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