March 6, 2026 · Prehospital emergency care · DOI: 10.1080/10903127.2026.2637914

An Analysis of Medications for Opioid Use Disorder (MOUD) Prehospital Programs Across North Carolina

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The authors aimed to analyze the current practices of prehospital Medications for Opioid Use Disorder (MOUD) programs across North Carolina and compare them to established best practices to aid in standardization. They found that while there was broad consistency in program implementation, including the administration of bridge dosing and patient inclusion criteria, variations existed in dosing practices and personnel authorized to administer MOUD. The study highlights the potential for these findings to inform the development of replicable models for prehospital MOUD programs in other states.

Leyla A Ozelkan, Carla D Tayes, Jack K Otterson, James E Winslow, Anjni PJoiner, Joseph M Grover

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