Evidence map›Paper›PMID 34401522›Full record

ArticleHealth science reports2021

Perceptions of opioid and other illicit drug exposure reported among first responders in the southeast, 2017 to 2018.

Robin A Thompson, Wayne T Sanderson, Susan Westneat, Terry Bunn, Antionette Lavender, Andrew Tran, Caroline Holsinger, Dwight Flammia, Lei Zhang, Ying He

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Robin A ThompsonFletcher Group, Inc. London Kentucky USA.ORCID https://orcid.org/0000-0002-2123-7176
Wayne T SandersonBiosystems and Agricultural Engineering Department University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0001-9460-0450
Susan WestneatDepartment of Epidemiology University of Kentucky College of Public Health Lexington Kentucky USA.
Terry BunnDepartment of Preventive Medicine and Environmental Health University of Kentucky College of Public Health Lexington Kentucky USA.ORCID https://orcid.org/0000-0001-8131-9715
Antionette LavenderChronic Disease, Healthy Behaviors, and Injury Epidemiology Section Georgia Department of Public Health Atlanta Georgia USA.
Andrew TranDivision of Surveillance and Investigation Virginia Department of Public Health Richmond Virginia USA.
Caroline HolsingerDivision of Surveillance and Investigation Virginia Department of Public Health Richmond Virginia USA.
Dwight FlammiaDivision of Surveillance and Investigation Virginia Department of Public Health Richmond Virginia USA.
Lei ZhangSchool of Nursing University of Mississippi Medical Center Jackson Mississippi USA.
Ying HeDepartment of HIV Elimination Fulton County Government Atlanta Georgia USA.
University of Kentucky · USVirginia Department of Health · USFulton County Medical Examiner's Office · USGeorgia Department of Public Health · USKentucky Cabinet For Health and Family Services · USUniversity of Mississippi Medical Center · US

Funding

ACL HHS T42OH010278NIOSH CDC HHS T42 OH010278NIOSH CDC HHS U60 OH008483
6 · The paper itself

Abstract

backgroundOpioid use has risen dramatically in recent years, and its illegal use puts first responders at risk when intervening in overdoses. Synthetic opioids, like fentanyl with a potency 50 to 100 times greater than morphine, pose a great risk and accidental exposure via ingestion, inhalation, mucosal, or percutaneous routes, can potentially lead to fatal outcomes. Anecdotal media accounts in early 2017 of accidental occupational opioid exposure among first responders generated a national concern.

methodsTo identify first responders' recollections, beliefs, and concerns about possible occupational exposure to opioids and other drugs, researchers in Kentucky, Virginia, Mississippi, and Georgia administered an emailed, anonymous convenience sample survey.

resultsA total of 5955 surveys were analyzed with 15% of respondents reporting they believed they had been exposed to opioids, and of those, less than 1% reported experiencing health effects from perceived exposure. Over half (51%) of respondents reported being "very or somewhat concerned" about developing health effects from exposure to opioids. Half of respondents reported being unaware of Centers for Disease Control and Prevention (CDC)/National Institutes for Occupational Safety and Health (NIOSH) guidelines for preventing occupational-related opioid exposures.

conclusionsOnly a small fraction of first responders believed they had experienced symptoms related to opioid exposure in overdose response calls, but half were concerned about potential exposures and half were unaware of the educational guidance on prevention available. The high level of concern regarding potential exposure warrants the need for the development and or enhancement of targeted educational training interventions and further dissemination of pre-existing training interventions to ensure first responders have the knowledge and understanding of occupational opioid exposures and minimize stress associated with the potential rare exposures.

Indexed as

emergency medical servicesemergency respondersfentanylfirefighterslaw enforcement officersoccupational healthopioid epidemicopioids surveillanceprehospital emergency care

Identifiers

PMID34401522
PMCPMC8351613
OpenAlexW3189718741

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.