Editing Supervised injection site (section)

=== Site experience of overdose ===
While overdoses are managed on-site at Vancouver, Sydney and the facility near Madrid, German consumption rooms are forced to call an ambulance due to naloxone being administered only by doctors. A study of German consumption rooms indicated that an ambulance was called in 71% of emergencies and naloxone administered in 59% of cases. The facilities in Sydney and Frankfurt indicate 2.2-8.4% of emergencies resulting in hospitalization.<ref>Hedrich, D {{cite web|url=http://www.emcdda.europa.eu/attachements.cfm/att_2944_EN_consumption_rooms_report.pdf|title=A Report on European Consumption Rooms|access-date=2010-05-28|archive-date=2020-03-26|archive-url=https://web.archive.org/web/20200326022000/http://www.emcdda.europa.eu/attachements.cfm/att_2944_EN_consumption_rooms_report.pdf|url-status=dead}} EMCDDA 2004 p. 46</ref>

Vancouver’s Insite yielded 13 overdoses per 10,000 injections shortly after commencement,<ref>Kerr T, Tyndall MW, Lai C, Montaner JSG, Wood E. {{cite web |url=http://www.harmreduction.org/downloads/Kerr_Overdose_IJDP.pdf |year= 2008 |title=Drug-related overdoses within a medically supervised safer injection facility |access-date=2010-05-01}}</ref> but in 2009 had more than doubled to 27 per 10,000.<ref>see {{cite web |url=http://supervisedinjection.vch.ca/research/supporting_research/ |year= 2009 |title=User Statistics |access-date=2010-05-01}}</ref> The Sydney MSIC recorded 96 overdoses per 10,000 injections for those using heroin.<ref>2003 MSIC Evaluation Committee {{cite web |url= http://www.druginfo.nsw.gov.au/__data/page/1229/NDARC_final_evaluation_report4.pdf#Final%20Report%20of%20the%20MSIC%20Evaluation |title= Final Report of the Evaluation of the Sydney Medically Supervised Injecting Centre |access-date= 2010-01-09 |url-status= dead |archive-url= https://web.archive.org/web/20091029190140/http://www.druginfo.nsw.gov.au/__data/page/1229/NDARC_final_evaluation_report4.pdf#Final%20Report%20of%20the%20MSIC%20Evaluation |archive-date= 2009-10-29 }} 2003 p. 24</ref>  Commenting on the high overdose rates in the Sydney MSIC, the evaluators suggested that,
: “In this study of the Sydney injecting room there were 9.2 (sic) heroin overdoses per 1000 heroin injections in the centre. This rate of overdose is higher than amongst heroin injectors generally. The injecting room clients seem to have been a high-risk group with a higher rate of heroin injections than others not using the injection room facilities. They were more often injecting on the streets and they appear to have taken greater risks and used more heroin whilst in the injecting room.<ref>2003 MSIC Evaluation Committee {{cite web |url= http://www.druginfo.nsw.gov.au/__data/page/1229/NDARC_final_evaluation_report4.pdf#Final%20Report%20of%20the%20MSIC%20Evaluation |title= Final Report of the Evaluation of the Sydney Medically Supervised Injecting Centre |access-date= 2010-01-09 |url-status= dead |archive-url= https://web.archive.org/web/20091029190140/http://www.druginfo.nsw.gov.au/__data/page/1229/NDARC_final_evaluation_report4.pdf#Final%20Report%20of%20the%20MSIC%20Evaluation |archive-date= 2009-10-29 }} 2003 p. 59</ref>