A Combat Classic Reborn
From coast-to-coast, fire departments put out the call for an attack line that will deliver tried and
true performance. A hose that will deliver targeted application rates with reduced kink, minimal
nozzle whip and specific friction loss. Introducing TRU-ID, the first and only true internal diameter
hose specifically designed for combat fire fighting. Classic performance in an innovative design
and rugged construction guaranteed to withstand the rigors of the fire ground. Seize the power
of targeted flows with command and control performance, specify TRU-ID.
Call 800.447.5666 or visit TRU-IDhose.com to learn more.
Ideal for Low
Less Water Weight
Robust Construction for
FOR COMMAND AND CONTROL
Continuous observation of the patient,
especially the airway and breathing,
is critical in opioid overdose calls. Just
because naloxone restored the patient’s
consciousness and ability to breathe does
not mean it is time to let down our guard.
Being vigilant and prepared will give the
patient the best outcome possible.
1. Weiss, Ph. D; Audrey J; Elixhauser, Ph.D; Anne, Barrett;
et al. Opioid-Related Inpatient Stays and Emergency
Department Visits by State, 2009-2014. Healthcare
Cost and Utilization Project. December 2016. Retrieved
2. Centers for Disease Control and Prevention. Drug
Overdose Death Data. December 16, 2016. Retrieved
3. Centers for Disease Control and Prevention.
Understanding the Epidemic. Retrieved June 15, 2017,
4. Boyer, Ph. D; MD, Edward W. Management of Opioid
Analgesic Overdose. PMC, August 9, 2013. https://www.
5. Insys Development Company, Inc. Advisory
Committee of October 5, 2016. FDA. Retrieved
May 10, 2017. https://www.fda.gov/downloads/
6. 2015 National Drug Threat Assessment Summary. U. S.
Department of Justice, DEA. October 2015. Retrieved
from https://www.dea.gov/docs/2015%20ND TA% 20
7. Clarke SFJ and D Jones. Naloxone in opioid poisoning:
walking the tightrope. Emergency Medicine Journal.
September 1, 2005. https://www.ncbi.nlm.nih.gov/pmc/
8. Federal EMS Advisory Board Asked to Address Response
to Opioid Overdoses. NH TSA. Retrieved June 15, 2017,
9. Praugh MD; Donald Roy, MD, Ph. D; Bumgarner R, MD;
et al. Acute Pulmonary Edema in Healthy Teenagers
Following Conservative Doses of Intravenous Naloxone.
Anesthesiology. (pp 485-486) May 1984.
10. Horng, Huei-Chi; Ho, Min-Tzung; Huang, Chih-Hung;
et al. Negative Pressure Pulmonary Edema Following
Naloxone Administration in a Patient with Fentanyl-induced Respiratory Depression. (pp 155-157). Taiwan
Society of Anesthesiologists. November 12, 2009.
11. Mégarbane B and L Chevillard. The large spectrum
of pulmonary complications following illicit drug
use: Features and mechanisms. Chemical-Biological
Interactions. (pp 444-451). October 18, 2013.
12. Sporer, MD; Karl A; Dorn E, MD. Heroin-Related
Noncardiogenic Pulmonary Edema, A Case Series. Chest
Journal. Vol. 120 Issue 5 (pp 1628 – 1632) November
13. National Model EMS Clinical Guidelines. National
Association of State EMS Officials. Retrieved
June 1, 2017. https://nasemso.org/Projects/
14. Kakoutros, NS and SN Kakoutros. NonCardiogenic Pulmonary Edema. Hellenic Journal of
Cardiology. October 18, 2002, retrieved from
15. Warner, MD, FACP, FCCP; G. Scott. Evaluation of
the Effect of Prehospital Application of Continuous
Positive Airway Pressure Therapy in Acute Respiratory
Distress. Prehospital and Disaster Medicine. July 1,
2009, retrieved from https://pdfs.semanticscholar.org/
16. Sovari, MD, FACP, FACC; Ali A. Cardiogenic Pulmonary
Edema Medication. Medscape. December 22, 2016,
retrieved from http://emedicine.medscape.com/
CONNIE PIGNATARO is a lieutenant for
Oakland Park (FL) Fire Rescue (OPFR), where
she has been a member since 2002. In 2011,
she became the first woman to be promoted
as an officer in the OPFR. Pignataro has a
bachelor of applied science degree in public
safety administration. She is a certified
instructor III, live fire instructor, and vehicle
and machine rescue technician. She began her
career as a volunteer for her local community
emergency response team in 1998.