Overdose Tab

Field Descriptions¶

• WAS DEATH RELATED TO PRESCRIPTION MEDICATION OR ILLICIT DRUG: Choose whether or not death was related to prescription medication or illicit drugs.
  

• WAS DEATH RELATED TO METHADONE: Choose whether or not death was related to methadone.
  

• WAS LAW ENFORCEMENT INVOLVED: Choose whether or not law enforcement was involved.
  

• WHAT AGENCY?: If law enforcement was involved choose a law enforcement agency that has been added on the Agency tab.
  

• CONTACT PERSON: Contact person will automatically populate based on the selected Agency.
  

• INCIDENT #: Incident # will automatically populate based on the selected Agency.
  

• SOURCE OF POISONING: Select one or more checkboxes as the source of overdose poisoning.
  

• BAC: If Alcohol is checked the BAC text field will become available to list the BAC percentage and link to the BAC field on the Cause/Manner tab.
  

• BITE/STING (LIST SOURCE): If Bite/Sting is selected the list source text field will become available to list the source of the bite or sting.
  

• CO LEVEL: If Carbon Monoxide is selected the CO Level text field will become available to list the carbon monoxide percentage level and link to the CO Level field on the Cause/Manner tab.
  

• SOURCE: If Carbon Monoxide is selected the carbon monoxide Source text field will become available to list the carbon monoxide source and link to the Source of CO field on the Cause/Manner tab.
  

• OTHER (SPECIFY): If Other is selected the Specify text field will become available to list other source of poisoning.
  

• TYPE OF DRUG OD: Choose the type of drug overdose.
  

• DRUG ADMINISTRATION: Choose the type of drug administration.
  

• INJECTION EVIDENCE: Select the evidence that the type of drug administration was injection. Only available if Injection is selected as the type of drug administration.
  

• INDICATIONS OF DRUG USE: Choose what are the indications of drug use.
  

• EVIDENCE OF PRESCRIPTION MORPHINE USE: Choose the evidence of prescription morphine use.
  

• EVIDENCE OF PRESCRIPTION MORPHINE USE (SPECIFY): If Other is selected for Evidence of Prescription Morphine Use this text field will become available to enter other evidence.
  

• VICTIM BEING TREATED FOR PAIN AT TIME OF OD?: Choose whether or not the victim was being treated for pain at the time of overdose.
  

• INDICATE TYPE OF PAIN: Choose what type of pain the victim was experienced. Only available if Yes is selected for the the Victim being treated for pain at time of OD.
  

• WHAT EVIDENCE SUGGESTS RAPID OD: Choose one or more checkboxes to what evidence suggest rapid OD.
  

• NEEDLE FOUND LOCATION: If Needle found is selected this field becomes available to choose the where the needle was found.
  

• WITNESS REPORTED RAPID OD TIMING: If Witness reported rapid OD is selected this field becomes available to choose when the witness reported rapid OD.
  

• OTHER (EXPLAIN): If Other is selected this field becomes available to enter in other evidences suggests rapid OD.
  

• WERE BYSTANDERS PRESENT?: Choose whether or not bystanders were present.
  

• IF YES, HOW MANY?: If bystanders were present this field becomes available to choose either 1, 2+ or unknown.
  

• WAS DRUG USE WITNESSED?: Choose whether or not drug use was witnessed.
  

• NALOXONE ADMINISTERED?: Choose whether or not Naloxone was administered.
  

• BYSTANDERS: If Naloxone was administered this field becomes available to identify the name of the bystander who administered the naloxone.
  

• BYSTANDERS DOSE(S): If Naloxone was administered this field becomes available to identify the number of doses of naloxone the bystander administered.
  

• 1ST RESPONDER: If Naloxone was administered this field becomes available to identify the name of the first responder who administered the naloxone.
  

• 1ST RESPONDER DOSE(S): If Naloxone was administered this field becomes available to identify the number of doses of naloxone the first responder administered..
  

• RECENT DRUG RELAPSE?: Choose whether or not the decedent had a recent drug relapse.
  

• RECENT DRUG RELAPSE WHEN?: Identify when the recent drug relapse took place. Only available if Yes is selected for Recent Drug Relapse.
  

• RECENT OPIOID RELASPE?: Choose whether or not the decedent had a recent opioid relapse.
  

• RECENT OPIOID RELASPE WHEN?: Identify when the recent opioid relapse took place. Only available if Yes is selected for Recent Opioid Relapse.
  

• PREVIOUS OD REPORTED?: Choose whether or not a previous OD was reported.
  

• PREVIOUS OD REPORTED WHEN?: Identify when the previous OD was reported. Only available if Yes is selected for Previous OD Reported.
  

• TREATMENT FOR SUBSTANCE ABUSE: Choose if the decedent received treatment for substance abuse.
  

• NAME/ADDRESS/DETAILS: Identify the name, address and details for the substance abuse treatment centers. Becomes available if Current or Past treatment is selected for Treatment for Substance Abuse.
  

• CURRENT/PAST ABUSE OF OPIOIDS/HEROIN: Choose whether or not the decedent abused opioids or heroin currently or in the past.
  

• WHAT SUBSTANCES?: Choose one or more checkboxes as to what substances the decedent abused. Becomes available if Yes is selected for Current/Past Abuse of Opioids/Heroin.