Fact or Fiction

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Great article on ems1.com Medical commentary on the issue of danger to first responders of transdermal fentanyl exposure. Dr. Tan, discussing transdermal fentanyl exposure, agrees that exposure as would be typically encountered by first responders is an extremely low risk. “It is not zero risk and certainly not impossible, but extremely low,” he said. Fact or […]

Falsehood Flies

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“Falsehood flies, and truth comes limping after it, so that when men come to be undeceived, it is too late; the jest is over, and the tale hath had its effect.” – Jonathan Swift This quote came to me from a respected toxicologist after reading some news accounts of public safety response to possible fentanyl […]

10 Year Old Boy

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Jeanmarie Perrone MD, an emergency physician and medical toxicologist, answers questions from a reporter about the death of a 10-year- old boy in Miami and the dangers of fentanyl exposure.  Hers is a voice of reason in an understandable climate of hysteria. Miami Boy’s Death Shows Powerful Opioid’s Chilling Potential The case is tragic.  A […]

Fentanyl Exposure: The Toxicologist’s Take

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The American College of Medical Toxicology and the American Academy of Clinical Toxicology have issued a joint statement on Preventing Occupational Fentanyl and Fentanyl Analog Exposure to First Responders that states “the risk of clinically significant exposure to emergency responders is extremely low.” The statement addresses reports of responders suffering overdose from handling or being in proximity to […]

A Mother and Son

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The woman with the cellphone stands outside the car. She explains that the male in the car has been smoking crack, taking benzos and doing heroin for several days. I ask if he is breathing. She says yes, but he is asleep right now. When she picked him at his friend’s house in their suburban town […]

Fentanyl Skin Exposure: An MD’s View

A story published in Slate magazine yesterday questions the assumptions behind the widely reported episode of the Ohio police officer who required four doses of Naloxone after brushing Fentanyl off his shirt. The Viral Story About the Cop Who Overdosed by Touching Fentanyl Is Nonsense Written by Jeremy Samuel Faust, an emergency physician at Boston’s Brigham […]

Fentanyl: A Briefing Guide for First Responders

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Carfentanil (which had previously been seen in neighboring states) has now been officially identified in Connecticut.  The discovery of this drug 100 times stronger than Fentanyl poses questions: How much danger does Carfentanil (or Fentanyl for that matter) pose to EMS?  How can we in EMS protect ourselves from exposure to these drugs? What should […]

Narcan Man

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In troubled times in the metropolis, the unexpected rise up and battle the evils that enslave civilizations.  Today, such a tale is playing out on the streets of Hartford.  Behold…Narcan Man! Few of us were paying attention when it started to happen.  We get called for a overdose at the bus stop, possibly not breathing. […]

New Brands

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I called a meeting of the heroin dealers of Hartford at the pavilion in Pope Park. I had no authority to call the meeting since I am neither a heroin dealer nor affiliated with anyone who is.  I just felt like things had hit a critical point where something had to be said.  I admit […]

Empty Wallets

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EMS responders go through more wallets than pickpockets.  Unresponsive person in an alley.  We need to ID them.  Check for a wallet.  Dead person in a hotel.  Got a wallet.  Unresponsive in car.  Check his pockets.  You are looking for the driver’s license, but you can’t help but notice how much cash they are carrying […]

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