CPER Digest 2026 - Issue 3

Naloxone Review

Just as the sun begins to set you are called on a Code 4/Delta/Red response for a 30 year old patient that is "not moving" on a park bench. Upon arrival the caller points out your patient who is laying on the bench  nconscious. They moan to painful stimulus and immediately return to their altered state. There is a small pipe on the ground next to the patient. The caller states they are not sure how long the patient has been here and they called as soon as they found them. The patient is dressed appropriately for the weather.

Noisy Breathing

At 0100hrs you are called to a private residence on an urgent response for a pediatric patient (age 5) reported to be short of breath. On arrival you find the child in their mother's arms. They are anxious but alert. You hear a loud, harsh sound on inspiration and a cough that sounds distinctly like a seal barking. They have had a runny nose for two days, and stayed home from school today due to a fever and lethargy. They woke up suddenly tonight gasping for air and the parents called 9-1-1 immediately because of the odd cough.

Year in Review

Every year in December the Digest highlights and links the entire years issues into one convenient space. The year end is a great time to review any material and catch up on issues you may have missed. Stay tuned for all new cases, scenarios, and great information returning in 2026! Do you have an idea for a digest? Send it our way!

The Frailty Factor

This month we present two examples that highlight unique considerations in the geriatric population who have experienced trauma.

Quality of Care

Every fall season the CPER Digest and CPER Staff take a brief pause on our clinical content to congratulate the recent winners of the annual CPER Quality of Care Award.