Melody Glenn

Interests

Teaching

Harm Reduction, Addiction Medicine, Narrative Medicine

Research

Harm Reduction, Addiction Medicine, Emergency Medical Services, Health Policy

Courses

No activities entered.

Scholarly Contributions

Books

• Glenn, M. (2022). Marie's Methadone [MFA Thesis]. Mills College Library
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  This is the thesis for my Master of Fine Arts in Creative Writing

Journals/Publications

• Erstad, B. L., & Glenn, M. J. (2023). Considerations and limitations of buprenorphine prescribing for opioid use disorder in the intensive care unit setting: A narrative review. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
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  In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.
• Erstad, B. L., & Glenn, M. J. (2023). Management of Critically Ill Patients Receiving Medications for Opioid Use Disorder. Chest.
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  Critical care clinicians are likely to see an increasing number of patients admitted to the ICU who are receiving Food and Drug Administration-approved medications for opioid use disorder (MOUDs) given the well-documented benefits of these agents. Oral methadone, multiple formulations of buprenorphine, and extended-release naltrexone are the three types of MOUD most likely to be encountered by ICU clinicians; however, these drugs vary with respect to formulations, pharmacokinetics, and adverse effects.
• Friedman, N. M., Molina, C. A., & Glenn, M. J. (2023). Harm reduction and emergency medical services: Opportunities for evidence-based programming. The American journal of emergency medicine, 72, 85-87.
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  Overdose fatalities are increasingly attributed to synthetic opioids, including fentanyl, which may be added to samples of illicit substances unknowingly to the user. As recently as April 2023, the Centers for Disease Control and Prevention has also raised awareness of the risks of xylazine, an animal tranquilizer that has been found in adulterated samples of illicit substance. A growing body of evidence supports the use of drug testing services, including fentanyl and xylazine test strips, to reduce the risks associated with substance use and prevent fatal overdoses. Emergency medical services clinicians serve on the frontline of the opioid epidemic and are uniquely positioned to distribute harm reduction materials. In this article, we advocate for emergency medical services to distribute fentanyl and xylazine test strips. We also critically evaluate legal and other barriers to implementation.
• Glenn, M., & Stratton, D. (2022). EMS Distribution of Naloxone Kits to High-Risk Patients in a United States-Mexico Border Town. Prehospital Emergency Care, 26(1), 160-161.
• Davis, C., Carr, D., Glenn, M., & Samuels, E. (2020). Legal Authority for Emergency Medical Services to Increase Access to Buprenorphine Treatment for Opioid Use Disorder. Annals of Emergency Medicine, 14.
• Davis, C., Derek, C., Glenn, M., & Samuels, E. (2021). Legal Authority for Emergency Medical Services to Increase Access to Buprenorphine Treatment for Opioid Use Disorder. Annals of Emergency Medicine, 78(1), 102-108. doi:10.1016/j.annemergmed.2021.01.017
• Gaither, J. B., Spaite, D. W., Arcaris, B., McDonough, S., Hannan, P., Jado, I., Hollen, A., Primeau, K., Rice, A., & Glenn, M. (2021). Refusals after prehospital administration of naloxone during the COVID-19 pandemic. Prehospital Emergency Care, 25(1), 46-54. doi:10.1080/10903127.2020.1834656
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  Glenn MJ, Rice AD, Primeau K, Hollen A, Jado I, Hannan P, McDonough S, Arcaris B, Spaite DW, Gaither JB: Refusals after prehospital administration of naloxone during the COVID-19 pandemic. Prehosp Emerg Care. 2020. Epub 2020 November 3. DOI: 10.1080/10903127.2020.1834656. PubMed PMID: 33054530
• Glenn, M. (2021). #it'sOurShot: The Pregnancy Edition. FeminEM.
• Bobrow, B. J., Barnhart, B. J., Rice, A. D., Glenn, M., Spaite, D. W., Silver, A. E., Rice, A. D., Mullins, T., Mullins, M., Mcdannold, R., Keim, S. M., Hu, C., Glenn, M., Gaither, J. B., Chikani, V., Bradley, G., & Barnhart, B. J. (2020). Abstract 156: Capnographic Differences in Out-of-hospital Overdose-related, Respiratory, and Cardiac Arrests. Circulation, 142(Suppl_4). doi:10.1161/circ.142.suppl_4.156
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  Background: Little is known about the ventilatory aspects of overdose-related OHCA (OD-OHCA). We compared maximum ETCO2 (mETCO2; each patient’s highest CO2 level) and mean for each recorded minute ...
• Glenn, M. (2020). Spilt Milk in the ER. Mutha Magazine.
• Glenn, M. J., Rice, A. D., Primeau, K., Hollen, A., Jado, I., Hannan, P., McDonough, S., Arcaris, B., Spaite, D. W., & Gaither, J. B. (2020). Refusals After Prehospital Administration of Naloxone during the COVID-19 Pandemic. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 25(1), 46-54.
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  To determine if COVID-19 was associated with a change in patient refusals after Emergency Medical Services (EMS) administration of naloxone.
• Glenn, M., Hodroge, S., Breyre, A., Lee, B., Aldridge, N., Sporer, K., Koenig, K., Gausche-Hill, M., Salvucci, A., Rudnick, E., Brown, J., & Gilbert, G. (2020). Adult Patients with Respiratory Distress: Current Evidence-based Recommendations for Prehospital Care. Western Journal of Emergency Medicine, 21(4). doi:10.5811/westjem.2020.2.43896
• Hodroge, S. S., Glenn, M., Breyre, A., Lee, B., Aldridge, N. R., Sporer, K. A., Koenig, K. L., Gausche-Hill, M., Salvucci, A. A., Rudnick, E. M., Brown, J. F., & Gilbert, G. H. (2020). Adult Patients with Respiratory Distress: Current Evidence-based Recommendations for Prehospital Care. The western journal of emergency medicine, 21(4), 849-857.
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  We developed evidence-based recommendations for prehospital evaluation and treatment of adult patients with respiratory distress. These recommendations are compared with current protocols used by the 33 local emergency medical services agencies (LEMSA) in California.
• Trivedi, T. K., Glenn, M., Hern, G., Schriger, D. L., & Sporer, K. A. (2019). Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to "Medically Clear" Psychiatric Emergencies in the Field, 2011 to 2016. Annals of emergency medicine, 73(1), 42-51.
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  Patients with acute psychiatric emergencies who receive an involuntary hold often spend hours in the emergency department (ED) because of a deficit in inpatient psychiatric beds. One solution to address the lack of prompt psychiatric evaluation in the ED has been to establish regional stand-alone psychiatric emergency services. However, patients receiving involuntary holds still need to be screened and evaluated to ensure that their behavior is not caused by an underlying and life-threatening nonpsychiatric illness. Although traditional regional emergency medical services (EMS) systems depend on the medical ED for this function, a field-screening protocol can allow EMS to directly transport a substantial portion of patients to a stand-alone psychiatric emergency service. The purpose of this investigation is to describe overall EMS use for patients receiving involuntary holds, compare patients receiving involuntary holds with all EMS patients, and evaluate the safety of field medical clearance of an established field-screening protocol in Alameda County, CA.
• Seim, J., Glenn, M. J., English, J., & Sporer, K. (2018). Neighborhood Poverty and 9-1-1 Ambulance Response Time. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 22(4), 436-444.
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  Are 9-1-1 ambulances relatively late to poorer neighborhoods? Studies suggesting so often rely on weak measures of neighborhood (e.g., postal zip code), limit the analysis to particular ambulance encounters (e.g., cardiac arrest responses), and do little to account for variations in dispatch priority or intervention severity.
• Glenn, M. (2017). Another Drunk. Annals of emergency medicine, 69(6), 783-784.
• Glenn, M. (2017). Fresh Fruit, Broken Bodies: Migrant Farmworkers in the United States. Annals of Emergency Medicine, 69(6), 799. doi:10.1016/j.annemergmed.2017.02.009
• Glenn, M., Sanford, A., Gronowski, T., & Joshi, N. (2017). A Thousand Naked Strangers. Annals of Emergency Medicine. doi:10.1016/j.annemergmed.2016.09.040
• Glenn, M., Zoph, O., Weidenaar, K., Barraza, L., Greco, W., Jenkins, K., Paode, P., & Fisher, J. (2017). State Regulation of Community Paramedicine Programs: A National Analysis. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 22(2), 244-251.
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  Community Paramedicine (CP) is a rapidly evolving field within prehospital care where paramedics step outside of their traditional roles of treating acute conditions to provide elements of primary and preventive care. It is unclear if current state oversight regarding the scope of practice (SOP) for paramedics provides clear guidance on the novel functions provided and skills performed by CP programs.
• Trivedi, T. K., Glenn, M., Hern, G., & Sporer, K. A. (2017). 98 EMS Utilization Among Patients on Involuntary Psychiatric Holds in Alameda County, April 2014-2016. Annals of Emergency Medicine, 70(4), S40. doi:10.1016/j.annemergmed.2017.07.123
• Glenn, M., Taira, B. R., & Joshi, N. (2016). When Breath Becomes Air. Annals of Emergency Medicine, 68(2), 252-253. doi:10.1016/j.annemergmed.2016.05.013

Proceedings Publications

• Barnhart, B. J., Keim, S. M., Glenn, M., Bobrow, B. J., Rice, A., Gaither, J. B., Bradley, G., Chikani, V., Mullins, T., Mullins, M., Silver, A. E., Spaite, D. W., Hu, C., & McDannold, R. (2020, Nov). Capnographic Differences in Out-of-hospital Overdose-related, Respiratory, and Cardiac Arrests. In Resuscitation Science Symposium, American Heart Association Scientific Sessions.

Presentations

• Glenn, M., Weinstein, S., & Mroue, L. (2023, February).

  Health System Support of Lactating Dyads with Substance and/or Opioid Use

  . Substance Use and Opioid Use During Lactation Conference. Virtual: Institute for the Advancement of Breastfeeding and Lactation Education.
• Glenn, M., Stratton, D., Dory, H., & Brady, B. (2022, March/April).

  History of the Stigma & Criminalization of OUD and its Treatment

  . ASAM Annual Conference. Hollywood, Florida: American Society of Addiction Medicine.
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  This was an hour long lecture at the National Confrence
• Glenn, M. (2021, Fall). Treating Opioid Use Disorder in the Emergency Department. Tribal Opioid Summit. Maricopa, AZ.
• Russell, D., & Glenn, M. (2021, Spring). Harm Reduction is Treatment. Winter Institute. Tempe: Arizona State University.

Poster Presentations

• R, S. E., Glenn, M., Lindsey, V., Amber, R., J, L., R, M., A, H., K, P., & J, G. (2023, Jan). Examination of the Relationship between Opiate Overdoses, EMS Refusals, and COVID-19 Case-Spikes. Annual Conference. Austin, Texas: National Association of EMS Physicians.
• Vandergrift, L., Hollen, A., Glenn, M., Rice, A., Munn, R., Hannan, P., Knotts, M., Murugesan, A., Schwyhart, R., Stevens, B., Carpio, H., & Gaither, J. (2024, Jan). Prehospital naloxone administration and subsequent treatment for precipitated opioid withdrawal.. Annual Conference. Austin, TX: National Association of EMS Physicians.
• Glenn, M., Munn, R., Stratton, D., & Arcaris, B. (2022, January). Naloxone 911: EMS Distribution of Naloxone Kits to High-Risk Patients in a US-Mexico Border Town. National Association of EMS Physicians Annual Meeting. San Diego, California: NAEMSP.
• Rice, A., Hannan, P., Gaither, J. B., & Munn, R. (2022, January). Comparison of Various Video Laryngoscope Devices in Indoor and Outdoor Simulated Endotracheal Intubation. NAEMSP Annual Meeting. San Diego, California.
• Stratton, D., & Glenn, M. (2022, Jan). Naloxone 9-1-1: EMS Distribution of Naloxone Kits to High-Risk Patients in a United States-Mexico Border Town. NAESMP Annual Conference. San Diego: NAEMSP.
• Stratton, D., Arcaris, B., & Glenn, M. (2022, March/April).

  The Epidemiology of Pre-Hospital Care for Opioid Overdoses in a US-Border Town.

  . ASAM Annual Conference. Hollywood, FL: American Society for Addiction Medicine.

Reviews

• Glenn, M. (2022. A Silent Fire: The Story of Inflammation, Diet, and Disease. Publisher’s Weekly Book Review..
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  Book Review
• Glenn, M. (2022. Horse at Night: On Writing. Publisher’s Weekly Book Review(p. 1).
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  Book Review
• Glenn, M. (2022. Our Red Book: Intimate Histories of Periods, Growing and Changing. Publisher’s Weekly Book Review..
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  Book Review

Others

• Amber, R., Philipp, H., Rachel, M., Gaither, J., Glenn, M., Beskind, D., French, R., Bradley, G., & Keeley, B. (2023, January).

  Rice AD, Hannan P, Munn R, Gaither JB, Glenn M, Beskind D, French R, Bradley G, Keeley B, Stevens B, Rutherford, T. University Emergency Medical Services Guidelines – Prehospital guidelines for the care of patients with emergency medical conditions 

  . https://emergencymed.arizona.edu/ems-private/public/admin-guidelines
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  These are a collection of evidence-based guildelines and corresponding instruction for EMT's and paramedics to follow
• Rice, A., Philipp, H., Rachel, M., Josh, G., Glenn, M., Dan, B., Robert, F., Gail, B., B, K., B, S., & T, R. (2023, Jan). University Emergency Medical Services Guidelines – Prehospital guidelines for the care of patients with emergency medical conditions. University of Arizona EMS Guidelines.. https://emergencymed.arizona.edu/ems-private/public/admin-guidelines
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  Evidence-based EMS guidelines used by EMTs and Paramedics in Southern Arizona.
• Barnhart, B. J., Keim, S. M., Glenn, M., Bobrow, B. J., Rice, A., Gaither, J. B., Bradley, G., Chikani, V., Mullins, T., Mullins, M., Silver, A. E., Spaite, D. W., Hu, C., & McDannold, R. (2020, Nov). Capnographic Differences in Out-of-hospital Overdose-related, Respiratory, and Cardiac Arrests. Circulation. https://www.ahajournals.org/doi/10.1161/circ.142.suppl_4.156