Friday, September 14, 2018

Connecticut Overdose Death Numbers

 The opioid overdose epidemic continues to rage in Connecticut, although numbers again show the carnage may be plateauing.

The Connecticut Medical Examiner's Office just released the overdose death numbers for the first six months of 2018.

Connecticut Medical Examiner's Statistics

 515 people died in contrast to 500 and 538 in the two previous six month periods.

The numbers continue to show the rise of fentanyl as the cause behind the overdose deaths,

Source: Ct. Medical Examiner's Office numbers.  Graphs by Canning.

Connecticut Overdose Deaths Plateau

 

Monday, September 10, 2018

A Walk in the Park

 

A walk in the park to stretch the legs while on post. The medic walks past a row of port o-potties from a weekend event.

One port-o-potty is not fully closed.  A sneaker blocks the door door. On second glance the sneaker is attached to a foot.

Open the door and an unresponsive man tumbles out. A syringe and empty heroin bags lay on the ground. The man is blue and breathes only on stimulation. One shake, one breath.

The medic radios his partner who drives the ambulance across the sidewalk to the scene and bring overs the house bag. No more one shake, one breath. A proper ambu-bag is applied while the naloxone is readied.

A man sprint frantically across the park directly at EMS scene.

The running man stops and stands a few feet away, looking hard at the overdose victim, whose face is covered by a mask.

The medic lifts the mask briefly to let the man look. “You know this guy?” the medic asks.

“No,” he shakes his head. “I thought it was Doug.”

A moment later, another porto-potty door opens and a man stumbles out. He looks dazed and confused..

“Doug! Doug!” The other man shouts. “You’re all right. I thought this dude was you.”

Doug looks at us still bagging the patient. “Fuck,” he says.

With the naloxone in his system, the victim is starting to breathe better on his own. His ETCO2 has dropped from 100 to 48.

During the commotion a large flatbed truck has backed down the sidewalk. The crane on the back lifts the last port-o-potty in the row up in the air and places it on the back. 

We lift our patient up on the stretcher, and wheel him toward the ambulance.

He opens his eyes now and looks about. “Oh, Christ!” he swears. "You guy's Narcaned me, didn't you?"

“Believe it or not,” the medic says, watching yet another port o-potty being raised into the air. “It’s your lucky day.” 

Saturday, September 08, 2018

The Opioid Chapters

 Check out this web site to read about eleven people affected by the opioid crisis, including a paramedic who injured his back on the job.

The Opioid Chapters

Thursday, September 06, 2018

Fentanyl: The Real Deal

 Misinformation and inconsistent recommendations  regarding fentanyl have resulted in confusion in the first responder community.

- Fentanyl Safety Recommendations for First Responders (Revised) from the Office of National Drug Control Policy.

It seems every week responders are getting exposed to Fentanyl, being rushed to the hospital, with many getting Narcan, all often without exhibiting any symptoms or symptoms no worse than lightheadedness and tingling hands.  

OFFICERS HOSPITALIZED AFTER BECOMING DIZZY AND FEELING ‘A TINGLING SENSATION’ AT SCENE OF FATAL FENTANYL OVERDOSE

Cops left dizzy and numb after exposure to mysterious substance during NC drug search

I have been told at scenes to be careful that just touching a speck of powder could kill me.

No, I say, that's not true.

I have been writing about his for over a year now, and fortunately the The American College of Medical Toxicology and the American Academy of Clinical Toxicology, and even the first edition of the above document, helped correct much of the early damage done by the DEA's first document, Fentanyl: A Briefing Guide for First Responders.

Fentanyl: A Briefing Guide for First Responders

Fentanyl Skin Exposure: An MD’s View

Fentanyl Exposure: The Toxicologist’s Take

Controversies and Carfentanil

Nocebo Effect

Falsehood Flies

Fentanyl Safety

To rectify this confusion, the government has released a new YouTube video called Fentanyl: The Real Deal.

Fentanyl: The Real Deal

One scene tells it all.

A police office gets some powder on his hands and screams "I got some on my hands!" and then gets all woozy.

His partner tells him, "Wash your hands.  You'll be okay."

And he is fine.

Here's the bottom line:

Touching Fentanyl will not kill you.

If you get it on your hands, don't touch your nose or eyes.

Wash your hands with soap.

Wear gloves.  If there is powder in the air, wear a mask and eye protection.

You do not need to get narcan sprayed up your nose just because you were exposed.

Only give naloxone to someone who is hypoventilating or with true signs of the opioid toxidrome syndrome.

People who are hyperventilating do not need naloxone.

Follow your treatment protocols.