A Montreal paramedic offers an up-close look at city’s drug overdose problem | 24CA News

Health
Published 09.10.2023
A Montreal paramedic offers an up-close look at city’s drug overdose problem  | 24CA News

Nicolas La Salle Abran is at all times on the transfer.

As a supervisor with Urgences-santé, the paramedic service that oversees Montreal and Laval, he bears witness to the worst moments of individuals’s lives.

This can vary from treating a affected person present process a coronary heart assault to being among the many first to reach on the scene of a grisly infanticide. The seasoned paramedic can also be on the entrance traces of drug overdoses and “a lot of opioid intoxications.”

“It’s a lot more from before when I started in the ambulance,” La Salle Abran advised Global News throughout a experience alongside in downtown Montreal as night time turned to morning.

The supervisor, who’s about to rejoice his tenth anniversary with Urgences-santé in Montreal, knew he was in for a busy Thursday shift. Leaves could also be on the bottom, nevertheless it’s unseasonably heat for early October.

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“It’s really beautiful outside; there are a lot of people so we know it’s going to be big,” La Salle Abran defined.

On any given night time, La Salle Abran is patrolling the streets to supply each assist to his groups and people on the road. His first cease Thursday included a name to a supervised injection web site the place there was a doable drug overdose, adopted by a suspected crack overdose behind a constructing within the Plateau-Mont-Royal borough.

In the automotive, La Salle Abran has entry to a display close to his dashboard that lists the totally different sort of emergency calls pouring in. He identified that habit isn’t restricted to sure populations or areas, noting that one name a couple of potential drug overdose was within the metropolis’s suburban West Island.

“Intoxication and addiction could be every day, everywhere or with anybody,” he stated.


Nicolas La Salle Abran on the scene of a doable drug overdose or intoxication in Montreal on Oct. 5, 2023.


Tim Sargeant/Global News

In August, the Montreal public well being division subject a report saying that greater than 75 per cent of the 175 deadly overdoses that occurred from August 2022 to July 2023 passed off at house. The report famous that of these victims, 9 per cent had been homeless and that overdoses don’t discriminate on the subject of age, both.

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The public well being division additionally famous that “many lives” had been saved by neighborhood organizations, paramedics, first responders and residents throughout that interval. In one case, on the ride-along with La Salle Abran, a involved passerby got here throughout an unconscious man and administered naloxone, a medicine that reverses opioid overdoses, till paramedics arrived.

“As a citizen, you can intervene and maybe save a life,” La Salle Abran stated.

Urgences-santé has tracked the rising variety of interventions the place paramedics administer naloxone since April 2015. Paramedics used naloxone 82 instances in 2016 however that quantity has constantly been on the upswing within the following years. In 2022, a complete of 291 interventions had been recorded in Montreal and Laval.

The newest knowledge, which was obtained by Global News, exhibits that 28 interventions occurred this previous September — the very best quantity recorded for that month thus far.


Nicolas La Salle Abran has been a paramedic with Urgences-santé for almost 10 years.


Tim Sargeant/Global News

La Salle Abran described drug overdoses as tough conditions that aren’t solely arduous on those that eat, but additionally those that deal with them. Not solely should paramedics act quick and with precision, however they put themselves of their sufferers’ sneakers.

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“It’s sad and a tough life,” La Salle Abran stated of those that wrestle with habit. “But at the end, our job is to treat them.”

“And at the end of the day, they are still human beings and we need to treat them with all our empathy, all of our professionalism and we’re going to take care of them the same way we are going to take care of everybody else.”

La Salle Abran stated there might be just a few explanation why opioid overdoses are on the rise, starting from extra drug customers to incidents the place a nasty batch hits the streets. The majority of overdoses he sees come up from avenue medicine, although unintended prescription overdoses occur too.

“The more narcan, the more eyes we have on the streets, the more lives we will save,” he stated. “We’re never going to stop drugs, but at least if can save people — we’re going to do it.”

La Salle Abran is one among 5 supervisors who oversee 80 paramedics on any given day. He gives assist to sufferers and to the groups of paramedics in a job the place there’s a danger of post-traumatic stress dysfunction. Dealing with that danger typically means listening to colleagues after a tough shift, even providing them McNuggets.

“I’m taking care of patients, but I’m taking care of my own,” he stated.

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It’s removed from straightforward, however La Salle Abran describes being a paramedic as “the best job in the world.” He stated not solely does he get to assist save lives however he will get to hearken to sufferers and assist make them really feel higher.

“You make an actual difference in people’s lives,” he stated.

Everybody, together with these affected by habit, has a narrative to inform.

“We’re here to listen to them and we’re here to treat them.”


Click to play video: 'Majority of Montreal’s deadly drug overdoses happen at home'

Majority of Montreal’s lethal drug overdoses occur at house


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