Overdose prevention RV totalled in crash, forces pause on safe injection and drug testing
Sunshine House staff were on the evening shift on July 2, driving the overdose prevention RV known as MOPS, when another vehicle ran into them at an intersection. No staff members were injured.
Caleb Clay, the mobile overdose prevention site's administrative manager, said the hit and run left the front of the RV with extensive damage, which Manitoba Public Insurance wrote off.
Since hitting the road in 2022, the RV has offered a safe place for people to use substances and be supervised by staff trained in overdose response. The RV would also drive around to encampments in the city to distribute harm reduction supplies and test drugs.
"Unfortunately in Winnipeg we are in the middle of a pretty hefty drug toxicity and overdose crisis, so folks are certainly going to continue to overdose ... the main concern is just the the safety of folks who use drugs," said Clay.
According to a report covering the first year of the RV's operation, street drugs were consumed more than 7,000 times at relative safety in the vehicle with only 20 overdoses among 26,154 visits and no deaths reported.
Around 550 to 600 people use Sunshine House's services daily, including between 20 and 100 people at the RV on the evening before the crash, said Clay.
Federal exemption needed
After the crash, Sunshine House began using a decommissioned ambulance donated by the Salvation Army, but not all services can be operated out of the replacement vehicle.
Sunshine House required a federal exemption under the Controlled Drugs and Substances Act to be used as a safe injection and drug testing site.
While the federal and provincial governments are helping the organization to get the same exemption from Health Canada for their new vehicle, until then, the centre can only distribute supplies for safe drug consumption with the ambulance, said Clay.
He's worried that people will be less aware of the drugs they are consuming as they will have one less alternative to test them, especially during the evenings when the majority of testing sites in Winnipeg are closed.
Clay is also concerned about those who use injection as their main method of drug use because "they may be doing it elsewhere in less-ideal circumstances."
He's recommending people can use other community resources like Nine Circles Community Health Centre or Street Connections to test their drugs while the new vehicle gets the exemption for it.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Yahoo
3 minutes ago
- Yahoo
MLPS adopts ImageTrend Platform for improved patient care
Middlesex-London Paramedic Service (MLPS) in Canada has adopted the ImageTrend Platform to enhance patient care and align with Ontario's documentation standards. This strategic move aims to improve clinical documentation and provide deeper insights into operational performance. With the Ontario-compliant platform, MLPS will be able to streamline data collection, enhance reporting consistency, and access real-time analytics. These capabilities are crucial for operational decision-making and advancing system-wide quality initiatives. MLPS paramedic services director Adam Bennett said: 'After a thorough evaluation, we believe ImageTrend offers the right combination of innovation and support to meet the unique needs of MLPS. We're looking forward to building a successful partnership.' MLPS is now part of a rising number of Ontario paramedic services utilising ImageTrend's integrated solution, which complies with the Ontario Ambulance Documentation Standards (OADS v4.0). Set by the Ministry of Health this year, these standards dictate the documentation, submission, and application of ambulance call reports for quality improvement. ImageTrend president and CEO Patrick Sheahan said: 'Partnering with MLPS builds on our commitment to helping Canadian paramedic services document care efficiently and put their data to work. 'We look forward to supporting their team with a platform designed to meet today's needs and adapt to what's next.' MLPS serves as a paramedic service provider for Middlesex County and the City of London, operating from 13 stations with over 450 professionals. In May this year, ImageTrend expanded its reach in Canada through a partnership with Airmedic, enhancing aeromedical responses in Québec. In February, the St Charles County Ambulance District in Missouri began using ImageTrend's ePCR and Billing Bridge software. "MLPS adopts ImageTrend Platform for improved patient care" was originally created and published by Hospital Management, a GlobalData owned brand. The information on this site has been included in good faith for general informational purposes only. It is not intended to amount to advice on which you should rely, and we give no representation, warranty or guarantee, whether express or implied as to its accuracy or completeness. You must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content on our site. Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data


CBS News
5 minutes ago
- CBS News
Air quality alert issued for NYC, Hudson Valley today. Map shows Canadian wildfire smoke.
An air quality alert has been issued for New York City and the Hudson Valley on Monday. The Air Quality Index, or AQI, is expected to exceed 100, which is considered unhealthy for sensitive groups. The alert is in effect from 12 a.m. Monday to 12 a.m. Tuesday for the five boroughs, as well as Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester counties. Yet another round of smoke and haze from ongoing wildfires burning in Canada's Manitoba and Saskatchewan provinces will drift into the Tri-State region on Monday. Not only will it turn the skies from clear to milky and hazy, it also will lead to poor air quality, especially for sensitive groups. As of now, it appears this will be a one day event, with smoke forecast models indicating that smoke/haze conditions should improve by Tuesday afternoon. Weatherwise, Monday is shaping up to be a warm day, with highs in the mid-to-upper 80s, Despite the haze, lots of sunshine will be in place, albeit filtered. Looking ahead to the upcoming week, the low humidity that we all enjoyed over the weekend will slowly creep up during the week. However, it is not expected to reach the extremely oppressive levels observed last week. Temperatures won't deviate too far from normal, generally topping out in the low to mid 80s. As for precipitation, other than a spotty shower chance on Tuesday and Thursday, it looks to be an overall very dry week. So far, there have been no aftershocks reported from the earthquake that occurred Saturday night in Hasbrouck Heights, New Jersey. There is still a chance that a few aftershocks may be develop, although the likelihood is low. Aftershocks can happen weeks, months and even years after an initial quake, but the first one usually tends to occur within the first day or so of the main event. Justin Lewis contributed to this report.


Medscape
2 hours ago
- Medscape
Simple CT Tweak Detects Stroke Clots 6x Faster, Study Shows
A 'simple adjustment' to routine CT angiography (CTA) in patients with ischemic stroke or transient ischemic attack (TIA) in emergency departments could dramatically enhance diagnosis. By extending the area scanned by at least 6 cm below the lower end of the trachea to include the upper heart and aortic arch, the detection of cardiac clots increases sixfold. This adjustment could improve the identification of stroke causes and optimize treatment, according to the results of the Canadian randomized DAYLIGHT study, which involved 465 participants and was published in The Lancet Neurology . The data were presented at the World Stroke Congress 2024 in Abu Dhabi, UAE. 'We would only need to screen 14 patients [with the extended CTA] to find one thrombus,' tweeted Luciano Sposato, MD, the study's lead researcher, vascular neurologist at London Health Sciences Centre (LHSC), director of the Southwestern Ontario Stroke Network team based out of the Regional Stroke Centre at LHSC, and professor of neurology at Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. 'Great study, this will certainly modify current stroke care approach,' Avirag Goswami, MD, a vascular neurologist at Northern Light Eastern Maine Medical Center in Bangor, Maine, commented on X. In an accompanying editorial, Carlos Garcia-Esperon, MD, PhD, and Mark W. Parsons, MD, PhD, stroke specialists from John Hunter Hospital and the University of Newcastle in Newcastle, Australia, noted that although the research does not clarify the underlying pathology behind clot formation, DAYLIGHT is the first randomized clinical trial to demonstrate the benefit of obtaining images below the aortic arch during CTA evaluation for hyperacute stroke. The study marks a shift away from the days when standard CTA was the only complementary tool to contrast-free CT for evaluating acute stroke in its early stages. However, there is ongoing debate about whether the extended CTA alone is sufficient or if another imaging modality, such as cardiac CT, should be incorporated. 'Accelerating' Anticoagulation Therapy For the study, the research team included 465 patients with ischemic stroke or TIA (51% women; median age, 78 years). Of these, 226 received the extended CTA, while 239 received standard CTA. The primary outcome — detection of cardio-aortic thrombus — was observed in 20 patients (8.8%) in the extended CTA group vs just four patients (1.7%) in the standard CTA group (odds ratio, 5.70; P = .002). This suggests that the extended imaging procedure increased the detection of cardiac clots by approximately 500% compared with conventional practice. In 95% of these cases, the clots were found in the left atrial appendage, according to Sposato. The extended CTA did not significantly delay the procedure or interfere with access to reperfusion therapies. The time from stroke code activation to completed CTA increased by only 1 minute in the extended CTA vs standard CTA group (21.0 minutes; interquartile range [IQR], 15.8-27.0 vs 20.0 minutes; IQR, 17.0-26.0). Radiation exposure was slightly higher but clinically insignificant, and no increase in contrast-induced nephropathy was observed. Sposato emphasized that detecting previously overlooked cardiac clots helps physicians better identify the probable origin of the ischemic episode, improving patient management. 'This extended CTA is performed immediately before initiating acute stroke treatment, before the patient receives thrombolytics and, later, anticoagulants — two drugs typically used to dissolve clots. If we wait a week for an echocardiogram, the clot could be gone, and the cause of the stroke would remain unknown,' said Sposato. Rodrigo Bagur, MD, PhD, interventional cardiologist at LHSC and co-author of the study, commented, 'If we did not extend the CT scan, some of these blood clots may not have been found, and these strokes would have been classified as having an undetermined cause.' The second advantage of extended CTA is that identifying cardiac clots serves as an 'accelerator' for initiating anticoagulation therapy. 'Previously, anticoagulation was delayed due to concerns about potential bleeding from the stroke. However, we now have strong evidence from randomized studies worldwide showing that early anticoagulation does not increase this risk. In fact, early anticoagulation may reduce the risk of early stroke recurrence due to the same cause that triggered the first episode,' explained Sposato. The recently published CATALYST meta-analysis integrated data from four clinical trials involving patients with ischemic stroke and atrial fibrillation. The study found that starting anticoagulation with direct oral anticoagulants within 4 days (vs ≥ 5 days) reduced the risk for ischemic stroke recurrence by 44%, without increasing the risk for symptomatic intracranial hemorrhage. Future Research Sposato noted that Latin America has significant potential for applying the extended CTA technique to detect more clots. A recent survey of 405 vascular neurologists from 62 countries found that 73% of South American centers and 76% of North American centers (including Mexico) use coronary CTA for ischemic stroke cases. The next phase of research will focus on securing funding for a new study to assess whether extended CTA reduces the risk for ischemic stroke recurrence and provides additional clinical benefits. Sposato explained that the DAYLIGHT study could not measure these outcomes due to the impracticality of conducting a much larger study. 'Most interventions used in acute stroke care to determine the cause have not shown a reduction in recurrence rates due to the lack of large-scale studies to support it. For example, while echocardiograms and cardiac monitors are used to detect atrial fibrillation, there's no evidence that this reduces recurrence. The same is true for vascular imaging,' said Sposato. Sposato reported receiving lecture and consultancy fees from Boehringer Ingelheim, Pfizer, Bayer, AstraZeneca, and Medtronic.