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Presented by IAMNURSE and 1NurseCharles Media

BreatheClear

An opioid crisis code simulation for middle and high schools. Students don't hear about an overdose. They run one, on a live monitor, with the same protocol an emergency department uses.

80%of each event is hands-on role play
11student roles, from team leader to bystander
Grades 6–12assemblies, health classes, CTE, athletics, parent nights
2Georgia districts as approved vendor

Very little lecture. A lot of doing.

The emergency room comes to the school. Students take clinical and family roles, run a simulated overdose on real ED protocols, and watch a live monitor show what every decision does to the patient. A licensed counselor supports them through the stress in real time, then leads the debrief.

    The roles

    • Team leader runs the code and assigns tasks.
    • Airway positions the patient, gives rescue breaths.
    • Compressions starts CPR when there's no pulse.
    • Medications gives naloxone, tracks doses and timing.
    • Recorder logs every vital and action against the clock.
    • Monitor calls the numbers and the trend.
    • 911 caller gives the address and the breathing rate.
    • Family and bystander feel the fear, learn why speed matters.
    • Runner meets EMS at the door.
    • Safety officer keeps the scene under control.

    The protocol

    American Heart Association ACLS and BLS sequencing, Emergency Nurses Association TNCC standards: assessment, airway, breathing, circulation, naloxone timing, CPR triggers and AED use. Students see the actual algorithm at a pace they can follow. The monitor shows heart rate, SpO₂, respiratory rate, blood pressure and capnography, the earliest sign of hypoventilation.

    Real-time support

    Watching a patient crash is stressful, even a simulated one. The facilitator pauses when students need support and guides a debrief about pressure, coping without substances and where to get help.

    The patient is yours.

    A short version of what students see on the wall. Six scenarios, each with ten or more decisions. The clock never stops: it runs while you read and while you hesitate.

    1. Pick a scenario: a counterfeit pill, a pre-game stimulant stack, a party mix, a hookah lounge, an online cart, a gas station shot.
    2. Read the decision, then press A, B or C.
    3. Watch the monitor. Heart rate, oxygen, breathing and CO₂ answer the way a real body would.

    What vaping and smoking actually do to you

    Straight talk, not scare tactics. What changes, why it matters for school and sport, and what the research still can't say.

    Opioids: the part that can't wait

    Most teens who die of an opioid overdose didn't know they were taking one. Counterfeit pills pressed to look like Percocet, Xanax or Adderall are routinely made with fentanyl.

    When to start CPR

    Start compressions when the person is unresponsive and not breathing or only gasping. Trained rescuers check a pulse for no more than 10 seconds; untrained bystanders don't check at all.

    In an opioid overdose the heart stops because breathing stopped. Slow breathing with a pulse: rescue breaths and naloxone. No breathing and no pulse: CPR first, with naloxone alongside it.

    1. Call 911 and send someone for an AED.
    2. Heel of one hand on the center of the chest, other hand on top, arms straight.
    3. Push at least 2 inches deep, 100 to 120 per minute, let the chest come all the way back up.
    4. Trained: 30 compressions, then 2 breaths. Untrained: hands-only, don't stop.
    5. AED: turn it on, follow the prompts, keep compressing while it charges.
    6. Give naloxone as soon as it's available; switch compressors every 2 minutes.
    7. Stop only when the person breathes or moves, the AED says stop, or EMS takes over.
    Georgia's 911 Medical Amnesty law protects the person who calls for help and the person overdosing from arrest for small amounts of drugs, alcohol or paraphernalia found at the scene, when you call in good faith and stay. Naloxone is available without a prescription at Georgia pharmacies under a statewide standing order.

    Resources

    Already in Georgia schools

    Nurse Charles Media is an approved vendor with two of Georgia's largest districts. Breathe Clear is delivered with Emerson North Consulting, IAMNURSE, eLife Technologies and eCamphor CPR.

    Gwinnett County Public Schools

    Gwinnett County Public Schools

    Completed prevention sessions for middle school, high school, family and staff audiences. Breathe Clear is rolling out through the district's Counseling Services, with sessions recorded so schools across the county can share them.

    • Student assemblies and health classes
    • Parent and family workshops
    • Teacher and staff briefings
    Fulton County Schools

    Fulton County Schools

    Working with district Health Services on an engagement bringing the emergency room into Fulton classrooms and athletic programs.

    • Health Services collaboration
    • CTE and health science alignment
    • Athletic team sessions
    Protocols we followAmerican Heart AssociationEmergency Nurses AssociationTNCC Trauma Nursing Core Course

    Book a session

    Request a session with Nurse Charles. Send the form below and the Nurse Charles Media team will follow up to schedule. Prefer email? Write to partnerships@nursecharlesmedia.com.

    Charles T. Folsom Jr.

    Charles T. Folsom Jr.

    MHSA, BSN, RN, PMP. Lead facilitator, emergency nurse
    • Practicing emergency department nurse, 38+ years in the ER
    • Clinical simulation and patient safety
    • Founder, 1NurseCharles Media; CEO, IAMNURSE
    Real experience. Real education. Real impact.

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