Revive Me initiative to reduce opioid and drug related mortality

<!DOCTYPE html> <html> <head>  <meta charset="utf-8"/> <title>Revive Me initiative to reduce opioid and drug related mortality</title> <meta name="description" content="Opioid Overdose and Naloxone – How to Recognize, React & Revive" /> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta name="viewport" content="width=device-width, initial-scale=1"/> <meta name="google-site-verification" content="rgzq4YouL3tuGN0jG9uH8iqfaC-4mFFaKvug0B2m0w4" /> <meta name="google-site-verification" content="ZY119CTc8B1RC_SY5JvXmM4xBrsK1bpmXsy8xTBbPDA" />  <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/apple-touch-icon.png" rel="apple-touch-icon" /> <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/android-chrome-192x192.png" rel="apple-touch-icon" sizes="152x152" /> <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/android-chrome-192x192.png" rel="apple-touch-icon" sizes="167x167" /> <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/android-chrome-192x192.png" rel="apple-touch-icon" sizes="180x180" /> <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/android-chrome-192x192.png" rel="icon" sizes="192x192" /> <link href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/android-chrome-192x192.png" rel="icon" sizes="128x128" /> <link rel="icon" type="image/png" href="https://www.asahq.org/-/media/project/asa_mainsite/icons/fav-icons/favicon-16x16.png" /> <link rel="canonical" href="https://www.asahq.org/advocating-for-you/reviveme"/> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@ASALifeline" /> <meta name="twitter:creator" content="@ASALifeline" /> <meta property="og:type" content="Article" /> <meta property="og:url" content="https://www.asahq.org/advocating-for-you/reviveme" /> <meta property="og:title" content="Revive Me initiative to reduce opioid and drug related mortality" /> <meta property="og:image" content="https://www.asahq.org/-/media/project/asa_mainsite/icons/opengraph_currentlogo.jpg" /> <meta property="og:image:alt" content="American Society of Anesthesiologists (ASA)" />  <style> .purchase-information-container .date { display: none !important; 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The number of overdose deaths from prescription and illicit opioids has significantly increased from 47,600 in 2017 to 80,186 in 2022.</p> <p style="font-size:20px;line-height:32px;color:#000000;">As a result, today, people are more likely to die from accidental opioid overdoses (1 in 96 odds) than a car crash (1 in 103 odds).<sup>1</sup></p> <p style="font-size:20px;line-height:32px;color:#000000;">Overdose deaths are increasingly occurring in teens. Twenty-two high school students a week die due to drug overdose, an entire classroom, mostly due to fentanyl. From July 2019 to December 2021, there was a 109% increase in overdose deaths in 10- to 19- year-olds: 2/3 of them had 1 or more bystanders, but they lacked overdose rescue skills or resources to help.<sup>2</sup></p> <p style="font-size:20px;line-height:32px;color:#000000;">We have reached a critical point of national suffering. It is not just limited to immediate loss of life at the scene. The suffering encompasses victims whose cardiac function remains, yet they are brain dead from lack of an oxygen supply. Current bystander CPR is hands-only chest compressions for an unconscious victim, rescue-breathing has fallen off the algorithm entirely. It takes critical minutes until the police or the EMS squad to arrive, which is a potential missed opportunity for intact survival if a bystander is unprepared. Drug overdose related brain death remains the single greatest increased etiology leading to organ donation over the past twenty years.</p> <h2 style="margin:16px 0px 18px 0px;font-weight:700;">Dr. Bonnie Milas Shares Her Personal Experience</h2> </div>  <div class="container"> <div class="row"> <div class="col-md-8"> <div class="vid-container"> <iframe src="https://player.vimeo.com/video/592795624" width="640" height="360" frameborder="0" allow="autoplay; fullscreen; picture-in-picture" allowfullscreen></iframe></div> </div> <div class="col-md-4"> </div> </div> </div>  </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <style data-eqcss-read="true"> .external-links a:not(.no-external-icon):not(.subNav)[href]:not([href='']):not([href*='author.asahq.org']):not([href^='#']):not([href^='/']):not([href^='javascript']):after {content:none !important;} </style> <div style="line-height:24px;"> </div> </div> <div class="rt-container external-links"> <div style="margin:28px 28px 28px 14px;"> <div style="margin:24px 0px 0px 0px;background-color:#1226aa;"> <p style="padding:40px;color:#ffffff;font-size:20px;line-height:36px;">"I was an anesthesiologist mother who needed to rescue her opioid overdosing son, which I had successfully done on multiple occasions. I had the education to have naloxone immediately available and CPR skills to achieve the best possible outcome — skills which anyone can learn. Just imagine the emotions felt performing rescue maneuvers on your child, or conversely being unskilled and not knowing what to do until help arrives. Ultimately, on the crest of this wave of opioid destruction, both of my sons succumbed to this addiction. I am not alone in this loss. Tens of thousands of parents have suffered such devastating pain."<br /><em>- Bonnie Milas, MD</em></p> </div> </div> </div> <div class="rt-container external-links"> <style data-eqcss-read="true"> .external-links a:not(.no-external-icon):not(.subNav)[href]:not([href='']):not([href*='author.asahq.org']):not([href^='#']):not([href^='/']):not([href^='javascript']):after {content:none !important;} </style> <div style="line-height:24px;"> </div> </div> <div class="rt-container external-links"> <h2 style="margin:16px 0px 18px 0px;font-weight:700;">What ASA is Doing For You</h2> <p style="font-size:20px;line-height:32px;color:#000000;"><strong>There is a dire need for our communities to be prepared to respond to opioid overdoses in the home and in public spaces</strong>. We have made progress in making naloxone more available. But we must do more in order that everyone is educated and ready in how to completely rescue an opioid overdose victim.</p> <ul> <li style="margin-bottom:24px;font-size: 18px;line-height: 28px;color: #000000;">ASA member and cardiac anesthesiologist Bonnie Milas, MD, offered testimony for the approval of naloxone as a nonprescription countermeasure for opioid overdose at the U.S. Food and Drug Administration's Joint Meeting of the Nonprescription Drugs Advisory Committee and the Anesthetics and Analgesic Drug Products Advisory Committee on February 15, 2023. </li> <li style="margin-bottom:24px;font-size: 18px;line-height: 28px;color: #000000;">In a February, 2023 letter to FDA, ASA conveyed its strong support for the approval of nonprescription status for naloxone hydrochloride nasal spray products. “Improving community access to naloxone nasal spray through over-the-counter use and implementing equitable access solutions are critical components of addressing the opioid epidemic. Increasing the availability of naloxone nasal spray, especially in communities across the country most impacted by drug overdoses, is a critical component of our efforts to reduce opioid-related overdose deaths and, when combined with the availability of effective treatment of opioid use disorder, to ending the opioid epidemic.”</li> </ul> <p style="line-height:14px;margin:0px;padding:0px;"> </p> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <h2 style="margin:16px 0px 18px 0px;font-weight:700;">What You Can Do Now</h2> <p style="font-size: 18px;line-height: 28px;color: #000000;">We invite you to join the REVIVEme initiative to reduce opioid and drug related mortality to ensure public education for detection, and intervention, and tools for rescue are widely available. When implemented in a coordinated fashion, these interventions will help to greatly reduce morbidity and mortality in the U.S. today. Resource materials for the public and physician use are provided here for free. Make a difference in the campaign to reduce opioid and drug related mortality today!</p> <p style="font-size: 18px;line-height: 28px;color: #000000;">In March 2023, the FDA approved Naloxone’s availability over the counter (OTC)– the first 4 mg naloxone product approved for use without a prescription. Naloxone is an opioid reversal medication, which rapidly reverses opioid overdose. </p> <p style="font-size: 18px;line-height: 28px;color: #000000;">First and foremost, everyone should keep this lifesaving medication, naloxone, in your home and have it with you in your daily life, perhaps in a purse, briefcase or backpack. Naloxone is available in pharmacies, various commercial stores, Amazon.com, county and city departments of health, fire and police departments and many libraries offer it for free. </p> <p style="font-size: 18px;line-height: 28px;color: #000000;">Resource materials for the public and physician use are provided here for free. Make a difference in the campaign to reduce opioid and drug related mortality today!</p> <h2 style="margin:16px 0px 18px 0px;font-weight:700;">Watch the Demonstration Video by Dr. Bonnie Milas</h2> </div>  <div class="container"> <div class="row"> <div class="col-md-8"> <div class="vid-container"> <iframe src="https://player.vimeo.com/video/647083069" width="640" height="360" frameborder="0" allow="autoplay; fullscreen; picture-in-picture" allowfullscreen></iframe></div> </div> <div class="col-md-4"> </div> </div> </div>  </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <p style="line-height:44px;"> </p> </div> <div class="rt-container external-links"> <h2 style="margin:16px 0px 18px 0px;font-weight:700;">Countermeasures: The Opioid Crisis: New Podcast featuring Bonnie Milas, MD</h2> </div>  <div class="container"> <div class="row"> <div class="col-md-8"> <div class="tw-section"> Countermeasures: The Opioid Crisis <br/> <iframe height="200px" width="100%" frameborder="no" scrolling="no" seamless src="https://player.cohostpodcasting.com/bf1b493e-20ea-4f00-847e-d1f8b51e2621/f7b3602d-c276-474b-b0f9-85d63726bbcd"></iframe> </div> </div> <div class="col-md-4"> </div> </div> </div>  <div class="rt-container external-links"> <p style="margin-bottom:0px;margin:28px 0px;font-size: 18px;line-height: 28px;color: #000000;">The opioid crisis is the deadliest drug epidemic in U.S. history, its devastation reverberating through countless lives and communities. In Countermeasures, a podcast by Emergent, advocates and experts share the work they’re doing to reduce opioid overdose deaths, destigmatize dependency, and change the course of the opioid crisis. In this episode, hear from Dr. Bonnie Milas, anesthesiologist, intensivist, Professor of Clinical Anesthesiology & Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania Medical Center. Dr. Milas shares signs of opioid overdose, and what the public can do to be prepared to act in case of an accidental overdose.</p> </div> <div class="rt-container external-links"> <h2 style="margin:36px 0px 16px 0px;font-weight:700;">Explore Additional Resources</h2> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12">  <div class="container"> <div class="row"> <div class="col-md-6"> <div class="rt-container external-links"> <div style="margin:4px 20px 28px 0px;"> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:6;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/-/media/sites/asahq/files/public/advocating-for-you/reviveme/asanaloxonepublic-final.pdf" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Naloxone Rescue Training [PDF] →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/-/media/sites/asahq/files/public/advocating-for-you/reviveme/revive-infographic-final.pdf" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Infographic: Opioid Overdose & Naloxone [PDF] →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/shop-asa/E023REMS" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS) →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/podcasts/central-line/episode-twenty-five" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">ASA Podcast: The Opioid Crisis →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://pubs.asahq.org/monitor/article/84/12/1/112275/ASA-s-COTEP-Addressing-Opioid-Epidemic-with-New" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">ASA Monitor: COTEP Highlights Naloxone Awareness Project →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/advocacy-and-asapac/advocacy-topics/pain-medicine-talking-points/the-pain-toolkit" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">ASA AAOS Pain Alleviation Toolkit →</a></div> </div> </div> </div> <div class="col-md-6"> <div class="rt-container external-links"> <div style="margin:4px 20px 28px 0px;"> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.asahq.org/-/media/sites/asahq/files/public/advocating-for-you/reviveme/naloxone-position-statement---final---may-2021.pdf" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">AHA & ASA: Naloxone Position Statement [PDF] →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://cpr.heart.org/en/courses/opioid-education" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">AHA CPR and Opioid Education →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.redcross.org/about-us/news-and-events/news/2021/cpr-aed-awareness-week-every-second-counts.html" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">AHA: CPR/AED Awareness →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.empoweredtoserve.org/en/community-resources" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">AHA Empowered To Serve →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://www.readytorescue.com/" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Ready to rescue →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://nextdistro.org/" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Next Distro →</a></div> <div style="padding:12px 20px;margin:24px 0px 28px 0px;border:solid 1px #FFF;;font-size:16px;text-transform:uppercase;background-color:#1226aa;"><a href="https://hiprc.org/" style="color:#FFF;text-decoration:none;border:none;background-color:transparent;letter-spacing:1.2px;">Harbor View Injury and Prevention Research →</a></div> </div> </div> </div> </div> </div>  </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-12"> <div class="rt-container external-links"> <p style="margin-top:32px;margin-bottom:12px;">This page is curated by the Committee on Trauma and Emergency Preparedness and was last updated on 8/19/24.</p> <p>Thank you to the members of the Committee on Trauma and Emergency Preparedness and the REVIVEme Workgroup for their contributions to this effort.</p> <h3>References</h3> <p style="font-size:14px;margin-top:20px;margin-bottom:12px;"><sup>1</sup><em>Centers for Disease Control and Prevention. 2019 Annual Surveillance Report of Drug-Related Risks and Outcomes — United States Surveillance Special Report. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Published November 1, 2019. Accessed [02/15/2020] from <a href="https://www.cdc.gov/overdose-prevention/media/pdfs/pubs/2019-cdc-drug-surveillance-report.pdf">cdc.gov [PDF]</a>.</em></p> <p style="font-size:14px;"><sup>2</sup><em>Friedman, J., & Hadland, S. E. (2024). The Overdose Crisis among U.S. Adolescents. 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