Background: • Using methamphetamine/fentanyl daily (smoking), started using with prev BF about 5 yrs ago, had been abstinent for 2 years until 6 months ago when partner escalated abuse
Recent History: • Nodded off while using last night, fell on R wrist/hand • Medics took pt by ambulance and despite pain she was slipping out of consciousness in the ambulance given naloxone on the way to the ED