This fear of fentanyl being pushed into the public literally has patients refusing it in the ambulance for pain management because they believe we are going to kill them with it. Happened to me just a few shifts ago. Thank you for this video!

@nightowls7324

2 жыл бұрын

For what type of situation would you have needed to administer fentanyl in an ambulance?

@Fireguy723

2 жыл бұрын

@@nightowls7324 in my state we carry 3 pain meds which are toradol, fentanyl and ketamine. So pretty much anyone needing pain management for moderate to severe pain...

@nightowls7324

2 жыл бұрын

@@Fireguy723 So, what would make you choose to give them fentanyl for moderate pain, instead of, say, toradol; or morphine instead of fentanyl for something severe?

@noaa7010

2 жыл бұрын

@@nightowls7324 The type of pain and where it is can matter a lot for which medication is administered as well. For example, at the EMR (basic) level I'm just finishing, for chest pain, headache, etc (depending on the headache) we might give ASA (aspirin). But for musculoskeletal pain like broken bones (but again, depending on where the break is and if it's a crush injury, etc.) we might give entonox instead. Or we might just give straight oxygen for a flail segment. I know morphine is given as a pain killer for some instances of organ and/or soft tissue pain up here in Alberta by the higher trained individuals as well.

@parkersmithson6667

2 жыл бұрын

@@nightowls7324 toradol is an NSAID (like ibuprofen) this is contraindicated in traumatic injuries so that could be a reason to give fentanyl

Great analysis. I'm sure these deputies both really did think that the trainee was going to die. He wasn't "acting", he really thought he was dying. I believe this is similar to panic attacks, where even though there is nothing physically wrong, it's a form of placebo that can have real physical effects.

@williamwilson6499

2 жыл бұрын

The video was totally fake…all police knew this.

@alfredknubble1958

2 жыл бұрын

@@williamwilson6499 They will never admit it though.

@patricksmith2553

2 жыл бұрын

My nephew is a police officer and was just hospitalized from exposure to fentanyl, he was put in the back of a patrol car and rushed to a local ER, so I'm not sure WTF you're talking about. Plus often during an overdose the victim has agonal breathing and it can be painful and or hard to hear and watch, it's not always like you described like they stop caring or go to sleep. There is a lot of B.S. here, but I think you mean well, but you're wrong.

@alfredknubble1958

2 жыл бұрын

@@patricksmith2553 I'm sure the relatives of the Sheriffs in the video really thought he ODd on fentanyl as well. Doesn't mean they were right.

@PrepMedic

2 жыл бұрын

Sorry to hear your nephew was hospitalized. Agonal breathing is not painful, despite what you may infer from its name. Agonal breathing occurs when you lose higher nervous system control of your breathing reflex as a last ditch effort to stay alive. By definition agonal breathing does not occur when a patient is conscious. Considering that there has never been a case of contact OD from Fentanyl that has been substantiated by a tox screen I am willing to bet your nephew didn’t have any fentanyl in his system.

I really appreciate you making this video. I had no clue, I get the Sherif's emails and saw this video and was surprised how intense the reaction to this drug was. It seemed really strange to me. Thank you for helping balance the misinformation that is so rampant out here today.

I’m so glad you made this video. The amount of hysteria about so many untrue things on the internet has reached epic proportions and we need more of these kinds of videos to expose them.

This is why continuing training is so important! Great video and fantastic camaraderie by the officers!

This kind of content is really pivotal. Especially from the lens that you react from. I appreciate you watching and reacting this content. I appreciate your professionalism and pride in what you do. This change/new content has a lot of potential and is what EMS needs. Good perspective here.

I was an Army Infantryman, and I did three trips to Iraq (I only mention that because it's relevant). The scariest moment of my life was my first panic attack three years after retirement. Everybody involved in this situation should be commended for taking care of this deputy in what they all believed to be a near death experience. It's also great to see this type of unbiased commentary from somebody who can clarify the situation.

@NastyStankyChicken

Жыл бұрын

I was also an Army Infantryman and I have a generalised anxiety disorder I've been dealing with it for over 10 years, it's honestly the worst feeling imaginable and there's been times where I would rather die then experience it again, I know exactly what you mean.

Great video, very thoughtful and accurate review of the details, and exceptional breakdown of what the responders were going through and what they were feeling.

Thank you! That was a great explanation. Not just of the low risk for dermal exposure absent some carrier but of why giving correct information is what can really save lives. I'm right there with you that those deputies don't deserve any flak for responding in a way for which their training had primed them. For all I know it was 100°F out there, the FTO triggered that primer and training Dep. mentally-stressed, probably dehydrated (no one wants to be the new guy who stays hydrated but asks to stop to urinate 6 times in a shift) and suddenly startled by that primer firing, drops. Anyone wanting to start the name-calling can kick rocks. Perfect one for an AAR so that we can all learn from it.

Thank you for this video. The way the deputy froze and fell backwards was really dramatic but something I didn’t expect from drug overdose. I’m glad this has been cleared up and I am happy everyone is safe and recovered.

This is an excellent breakdown. Incredibly respectful of it, and just, great information.

I am a retired Paramedic/Firefighter from the state of Florida. I agree with your description of what happened with the officer. More needs to be done to educate the Law Enforcement community on not only what the effects of certain drugs are to the body but what the dose of Narcan is so they don't give too much.

Thanks for this video. I’ve seen my share of people in various states of overdose, and when I watched this video, I remember thinking how strange it was. How fast he instantly “overdoses,” and then the complete lack of other symptoms you expect. It looked like he just froze up, and I almost thought he was trying to fake it for some reason. All the suggestions about placebo effect, combined with this guy being a (to give him the benefit of doubt) good hearted maybe naive cop who believes the stories about how just touching the bag this stuff is in will kill you, puts it in a little bit better perspective for me. Great content!

I was an EMT for years(long ago)....before fentanyl became a thing....I saw up close many many opiate OD’s and when I watched the original video something about what was going on there bothered me.....the Cops gave him a boat load of Narcan and the patient wasn’t coming around....something was just not right here.....now I know what was really wrong.....thanks for a great, well thought out video

@TonkaFire2019

2 жыл бұрын

Got to love the cut between opening and then he’s going down

@DillonD14

2 жыл бұрын

I just watched a video of a driver that was OD. The officer gave the guy 8mg and emt showed up and gave him another 8mg before he came to.

@972CHENZO

2 жыл бұрын

When I used to be on opiates I was on like 5-7x 30mg blues and 1-2x 100mg morphine sulfate pills, every day for 7 years. And one day I forgot and took 3x 100mg morphine pills and got on an airplane and I was sleepy as hell, so I put my head down and I remember I had to tell myself to breathe cause it wasn't happening on its own. I ended up staying awake and was fine. But I've always thought I was extremely close to od'ing. I've been off all that shit for 5 years now and absolutely will not touch anything. Best freakin decision of my life!!

@Sploderisem

2 жыл бұрын

@@972CHENZO holoy shit

@LupusWarriorBreeze

2 жыл бұрын

@@972CHENZO congratulations on ur sobriety and continue to keep up the good fight! Stay blessed!🌻

Great video man! Keep up the good work prepmedic!!

Right on, thanks for the educated clarity on this. 💪

I have to agree with you here. Although I've been clean and sober for 16 years now, I used to be involved with big time opiates including heroin and Fentanyl (using not selling). That didn't look like an overdose to me. People will do a shot, then slowly their eyes will close, they will "have to sit down" and then they go out. It's not instantaneous. I also handled the powder form of Fentanyl, cut it was a blade, etc. and I never had this kind of reaction to it. Back then, we didn't use gloves or masks or anything. So if mere contact with Fentanyl can kill you, I'd have died many times over. That officer had thick gloves on as well. I so agree with that officer though, it's shit. Pure demonic shit and the FTO, Officer Crane was outstanding, remaining calm, professional and keeping his buddy calm and reassured. I now carry Narcan on me at all times (people don't know anyone can get it over the counter at any pharmacy) and I've actually had to use it once on a guy in a grocery store parking lot who his friend said was OD'ing. His lips were purple and I saw a needle cap lying beside the open car door. Thank God I had it too, because it took paramedics 12 minutes to get there. I live in Houston and it wasn't the paramedic's fault but trust me, that guy didn't have 12 minutes. Massive traffic jam at the time with an overturned tanker truck blocking the freeway and all exit ramps and feeder roads. I happened to be in the right place at the right time. Don't do Fentanyl people. Most of the heroin coming in from Mexico is now cut with Fentanyl. Whether it causes an instant OD or not, it is deadly and it can and will kill you. I believe I'm a walking miracle.

I am an EMT + nursing student. I learned so much from this video. Thank you!

Only one point of contention- the Narcan dosages. In the late 90's and early 2000's we upped the dosages on Narcan from the 0.4mg titrate to effect 2mg max to 2mg doses 4mg Max then intubate. We were seeing a lot of Darvon OD's (doesn't hit the same mu receptors) and not getting great results with the lower doses- it wasn't uncommon for us to get orders for an additional 4mg(actually started stocking 4mg vials) and still have a PT wind-up on a narcan drip after intubation. Generally you're right, and especially with an addict- you want to go slow, but there are always going to be cases that just don't fit the norm. Little long winded there , basically I wouldn't use Narcan dosages as a diagnostic tool. Great topic !

@Bellaaaaaaaxxo

2 жыл бұрын

I am not a medical professional - unfortunately I am a Recovering opioid addict I’ve been sober for the first two years ever in my life and I just came across this video and then you’re comment. I don’t think I could say it as technically right an good as you did but I just wanted to say that even from my experience of being a drug addict and on that side, I have seen many people overdose especially since fentanyl took over. Thankfully I was never there when somebody actually died these people were saved but also unfortunately I have lost you know my cousin my uncle a few friends from this I’m glad I wasn’t there.. It’s really sad.. But I’ve seen were giving them one dose of Narcan didn’t help enough - just in the sense that the patient needed more doses.. my ex-boyfriend and a friend of ours had both overdosed in a Burger King bathroom and I had Narcan on me and I gave it to them before the paramedics or cops got there but like you said the paramedics ((or EMTs I always get them confused and I’m sorry about that)) but they had to give my ex an that friend more. They where brought to the hospital and put on an IV.. I had another friend that this happened to that I was there. My moms longtime friend who struggles with addiction wound up in a coma for a while.. I feel like most of the time nowadays with fentanyl a-lot of times they have to be given more than one dose.. It’s hard for me to talk about but honestly even personally I overdosed a little over two years ago. I was found in a McDonald’s bathroom and I woke up to paramedics and cops all around me. I remember going and trying to sit up and they were all like whoa whoa relax you were just almost dead, they gave me six doses of narcan.. I lived in a small town a lot of everyone knowing everyone, so of course someone I knew a friend younger brother was there and he told me afterwards he was like gabby they gave narcaned you 6 times and they stood up looked like they were done and then BAMM i sucked in a big gulp of hair and remember shooting up like sitting up and as I said before wanting to try an get up and then being like woah no slow down… I was a mess. But they saved my life, narcan saved my life. I don’t know why I felt the need to write you my life story.. but yeah I feel like nowadays especially with all the fentanyl that people are having to be given more than one dose.. you can go back into a overdose - they’ve said to my face when they brought my ex to the hospital. That’s why they upped the dosage of the narcan because it now takes more to break through fentanyl or carfentanyl..

@jamesbridges7750

2 жыл бұрын

@@Bellaaaaaaaxxo thanks for sharing that. Glad you're still here, best wishes! And no worries on the EMT vs Paramedic, it's just a matter of capability- like it's ok say nurse whether they're an LPN, RN,APN,Nurse- anesthetist, or Nurse-practicioner , we're all EMT's first.

@42pyroboy

2 жыл бұрын

I was a first responder in wy and no sooner than I finished training and certification they were teaching different standards to my fiance when she was working for a hospital nursing home.

@jamesbridges7750

2 жыл бұрын

@@42pyroboyit's ever changing. Lot of thoughts on the subject, but much bigger differences between in-hospital and out-of- hospital. It's likely a combination of factors including different focus. EMS is by and large trained to look for worst case , in-hospital has the ability to rule out and focus on most probable- EMS chest pain= Stemi, Hospital chest pain= "lets get an EKG,some blood,and a chest x-ray, but here's something for reflux" (exaggerating there but ...)

@amwelch0424

2 жыл бұрын

@@Bellaaaaaaaxxo First, congratulations on being 2 yrs free from opioids! Second, *THANK YOU* for sharing your story! If even just one person sees it & realizes that they too could also be clean/sober that makes it beyond priceless!

Even before I knew it wasn't an OD, I could tell in seconds that this cop was new, and very nervous. He looked like it was his first day on the job.

@PrepMedic this is the 1st vid I've watched of urs and I subbed before the vid was half way over. Can't wait to watch more content from ur channel, as I learned something that I feel is extremely valuable in today's society. Ur very intelligent and I appreciate ur attention to detail, ur delivery of pertinent info by putting it into layman's terms, and the respect u show for all the people involved in the video! GREAT WORK, SIR! 💕

As an ex user and someone who is given Narcan and CPR to people and has overdosed myself many times this was definitely not an overdose and I agree with you completely

@paranova6053

2 жыл бұрын

Great to hear you are clean, keep being strong!

@Bad666Moon

2 жыл бұрын

X2 this comment from another ex fentanyl user.

@venomg5799

2 жыл бұрын

I've had to bring 2 people back & it was NOTHING like this pathetic, fake shit. When someone is overdosing they literally look dead.

@N19HT-1

2 жыл бұрын

Stay strong bro. I always wonder what does heroin and fentanyl feel like, only smoked weed long time ago lol

@LupusWarriorBreeze

2 жыл бұрын

@@N19HT-1 Most people say they use heroin and/or fentanyl so that they "don't feel." Of course they are speaking in terms of emotional feelings and not physical ones, but several people have told me that both drugs have a "downer" effect and that they make u feel super relaxed, followed by drowsiness, which is when the user typically "nods out." They also say that they feel pain relief.

I was just taught the dangers of Fentanyl in my EMT class yesterday. Decided to speak up and share this video. The cop turning firefighter in my class was quite upset with me. All i could do is show the studies and explain i was trying to be respectful and avoid misinformation

@Funnywargamesman

2 жыл бұрын

It's really hard to correct educators, just in general. Add onto that the almost prerequisite bravado that comes with people who are willing to put their lives in the line to save other people and you have a recipe for disaster when trying to make corrections. As I hope it comes across, I have a great respect for those who do the job I am not willing to do, but that does not make them above myths and hoaxes. Though on a personal note, even without being a teacher or having a strong ego I can imagine how embarrassing it would be to be 180'd on something by some likely half my age. Good on you for standing up for the truth.

@mariannerivera2720

Жыл бұрын

YOU ARE SO RIGHT, THIS MORON WHO TALKS OUT OF HIS @$$ IS DANGEROUS, HE SHOULD NOT BE IN ANY POSITION OF GIVING ANY MEDICAL FIELD!!!!

@skydivingcomrade1648

Жыл бұрын

The scare tactics and ego that some people in "Authority" have is getting really annoying. Good job in doing your own research. Been in EMS for 16 years and a medic for 6.

@TheChicagoJunkie

Жыл бұрын

As a recovering addict thank you. I appreciate you trying to make sure people are knowledgeable.

My son is in recovery, but before he got clean he od'd MANY times and everything you said here was spot on.

Great analysis! You go through exactly the same points I go through with my students and new nurses on how to identify and react to an opioid overdose. Nursing school has a tendency to scare the crap out of students when it comes to opioids.

This may be the best video I've ever seen in regards to information, thoughtfulness, fairness, and accuracy/truth/facts.

These are panic attacks. Fast heart rate, sweating and hyperventilating. Prep medic hit the nail on the head. I've handled fentanyl on many occasions (I'm a cop). I also know that there would have been many signs that he was under the influence before he went down. There is no panic in an opiate overdose.

@Silvercrypto-xk4zy

2 жыл бұрын

Absolutely correct, I’ve had severe panic attacks (to the point i actually thought I was having a heart attack) and when i saw this that was the first thing that came to mind based on what the trainee was describing

More training needed.. They need medical professionals in these classes to really explain like you did.

Thank you so much for this video! I suffer from chronic pain and use fentanyl (patches). I use them as directed, as prescribed. Without this medication I would have no quality of life. I can’t stand the stigma and misinformation that surrounds this drug. It’s also frustrating that as chronic pain patients, we are having trouble accessing it because doctors are scared to prescribe it. I can’t thank you enough for this video.

@juliapalmer2344

2 жыл бұрын

I agree I am in the same situation.

@4thamendment237

Жыл бұрын

I hear you. One unfortunate outcome of the recent crackdown on dispensing opioids too liberally is that those restrictions often cause legitimate patients like you to suffer due to lack of access to opioid pain relief. For what it's worth, Suboxone (buprenorphine) is a partial opioid agonist which is sometimes used for chronic pain and can be used safely for years. You might consider looking into that if you don't already know.

@Velcro1997

Жыл бұрын

@@4thamendment237 Thanks for the suggestion. Unfortunately suboxone wasn’t helpful for me. We tried it a few times but it was unsuccessful at managing my pain.

The real takeaway is how a sort of panic can spread around via media and education. Makes you wonder how much we think is X but is really Y.

@TheOutlawMan

2 жыл бұрын

The often-overlooked social contagion.

@hzwanepol6947

2 жыл бұрын

I picked up an asthmatic at a public swimming pool. They were the only patient until someone said the word 'bromine.' Suddenly had half a dozen more patients.

Great video, We discussed this very topic with our teams. Heroes Next Door was considering doing exactly what you did but YOU did such a great job I will recommend anyone who has questions review this post. Great work.

Thankyou! Followed you for years and this is the video I will take mentally into the prison with me as a FTO. Have watched too many rookies go into panic mood and end up on sitting on a bench as they were getting the fresh air they so "desperately" needed after a search. Questioningnif I have been working to long and built up a immunity.

@JohnWicksPencil14

2 жыл бұрын

You’ve got rookies panicking after cell searches? Yikes.

@afrog2666

2 жыл бұрын

An* immunity

Posted this video on my FB page. Excellent perspective and down to earth explanation of what a real exposure would be like. In my years of experience, I have never seen an overdose from narcotics look this way. Again, not bashing LE what so ever, but there needs to be some good training with our brothers in blue in what to expect. I, for one, will be showing this video at one of our next SWAT trainings. Good information.

Man, I’m glad you made this. If I have to have this argument with another cop I’m going to lose it lol.

Been waiting for a video on this. Thanks boss.

Everything you are saying sounds 100% right to me (in regards to the overdose) I agree too this must have been so unbelievably scary for all of them.

Posted at section 12:30. Listening to this it sounds psychosomatic or maybe even more vasovagal or even just psychomatic from stress. It's this guy's first day on the job I'd probably be a nervous wreck as well

Thank you for a great educational video! I too saw the original video and felt a stab of panic. Then I remembered that airport customs staff and postal workers test powder being imported into the country every day, a lot of it Fentanyl, and none of the staff have ever had a similar reaction. All those staff would not be allowed to test packages for drugs if they could OD so easily during a test. Thanks again.

I love this, you have truly great content! Thank you🤘🏻

Superb video brother. Thank you!!! P.S. Superb job with the tactical beard👊

Great information and explanation 👍. Thanks for making this video.

I appreciate you having the balls to do this. Too much misinformation out there.

@michaelreyes8182

Жыл бұрын

I agree on the misinformation. Stay tuned..this guy is going to prove his claim by contact, without Narcan close by!!

thank you so much for the helpful information and the video! really appreciate everything you do!!!

First few minutes in and I was already thinking that you were invalidating the situation and saying he was faking it. But everything you said at the end makes more sense. I’m glad I stayed to watch the whole video.

Awesome video. I was wondering when something like this was going to come out. Thanks for lending your expertise! I'm so tired of hearing about contact OD's from law enforcement or people in general. I need Opioids to live a somewhat normal life, and all this nonsense is just making it harder for me to get my prescription meds so that I can get out and do the things I need to do, without feeling like I'm going to die.

@downhomesunset

2 жыл бұрын

Same. I also have doubts because I was on patches for a while and they take hours to start working

I appreciate this PSA, thank you 🙌

Thank you so much for posting this

didn’t think about the weaponization vs contact exposure, Thank you for clarifying this upfront!

Wow I saw that PSA and believed it completely (I have no experience or knowledge about this drug), thanks for providing an alternate perspective

@missgstar2389

2 жыл бұрын

a scientific perspective. instead of a reactionary agitprop that the news media spews

Under stress and perceived stress, the body can do strange things that you can't control. During childbirth, the nurse struggled a little to start an IV on my wife. As I watched, I literally saw my peripheral vision closing in. The nurse saw what was happening and got me to sit down. If it had gone on a little longer, I'm sure I would have passed out. I could not think my way out of that.

thank you so very much for putting up this video.

The most traumatic experience of my life was od’ing on this shit. I’ll never forget coming too with the paramedics frantically but also calmly at the same time working on me on the parking lot floor of a Walgreens. I came too in immediate withdrawals as the narcan ripped off all the opiates on my receptors. I felt that I couldn’t breathe and my extremities and face were numb and bluish from catastrophically low O2 level. I cry writing this, and I never forget that moment ever. It could of all ended that moment and the rest of my life gone. It’s a little over three years now and I thank those paramedics every year in person after they saved my life. They have such a difficult job and they are heroes in my book. Please don’t give up anyone who might be reading this and thinking they’re destined to go out like that and they can never change. I feel for you and you’re worthy of a life worth living.

WTF. I'm a front paramedic with 30 years service including 7 years in Police Custody. I've come into patients with Fentanyl dependent patients countless times, I've never heard of this drug O/D without bloodstream admission, these cops had a vasovagal syncope then shoving 8Mg of Naloxone dont really help.... It's like the old folks that go round giving each other GTN and wonder why they fall on the floor.

@artfull334

Жыл бұрын

Your comment is so interesting. I’m a Prince fan and a You-Tube channel is looking into the Police investigation of Prince’s alleged overdose from pills containing traces of Fentanyl. You are saying in your 30 years working as a paramedic you’ve never heard of an O/D without bloodstream admission!?? I’m now curious to know if it was possible for him to overdose from consumption of pills as the report suggests. I would really appreciate your thoughts on this.

@strnglhld

Жыл бұрын

@@artfull334 Of course you can OD from consuming pills. That’s not what they’re referring to.

Glad u made this video cuz i was wondering what, where, when, why, and how this happened! I was almost paranoid about fentanyl accidental exposure, now im not.

@missgstar2389

2 жыл бұрын

It makes cops look like heros - when theyre not. It demonizes addicts and costs people their lives. Not cops. Theyre like attention starved and cant stand that the situation isnt about them. I say this because even after cops are told the truth- they still want to believe theyre in danger - despite all evidence saying otherwise. Why?

@JackgarPrime

Жыл бұрын

That's the thing, cops are trained to be SUPER paranoid about basically everything. This is one of the ways it manifests, as opposed to the more obvious and talked about ways which is their habit of escalation beyond what's necessary because they think everything is a threat.

Thankyou very much for breaking this down and so respectfully too!

@elihenley6982

Жыл бұрын

Doesn’t it seem like a stretch to think all these were so well staged? And then interviews with the cops after? They’re trying to scare people. For funding.

Always enjoyed your informative videos

as someone who had a panic attack in my life and ended up in the hospital because i thought i was having a heart attack... I can attest, your brain has a powerful hold over your body (obviously) and if your brain is dead set on "im having a heart attack and dying" thats exactly what its going to feel like. I couldn't breath, my arm went numb, my jaw was stiff, i had no strength in my body... it was all i could do to call 911... i even lost conciousness for a short bit, i know this because the lady on the 911 call kept saying "Sir, sir, sir, talk to me, say something" it was a truly harrowing experience.... only to find out in the hospital it was all "Fantasy" and i had nothing more then severe gassy indigestion. So yes, even the doctor told me, a panic attack can manifest every symptom of a medical problem (and getting medical help is the right thing to do, just to make sure everything is ok), so cut the guy some slack... and the trainer isnt going to play around if he thinks his trainee is dying.

I remember the ED releasing a statement and they claimed that deputy did not have an overdose.

Thank you for correcting the misinformation!!!! Keep up the great work!!!

As a former addict thank you for this video. I watched that a while back and called BS IMMEDIATELY! I thought it was total fear mongering.

@normanvename3724

2 жыл бұрын

Me too. Stay sober bro.

@Bonesph

2 жыл бұрын

Same here. A few days later there was other people making videos saying the same thing and backed by hundreds of doctors

Thanks for educating people on this video and actual overdose. My fiance and I are 6 years clean from heroin/fentanyl/ other opiates and I've seen plenty of overdoses and that of my fiance. I like how you touched on the physical symptoms of an overdose because it really shines a light on the difference between what this deputy felt before the narcan administration and what an actual overdose victim feels or actually doesn't feel. In other words when you overdose on any opiate you don't realize or even know that you have stopped breathing because you are sleeping. There is no physical symptom of NOT breathing because you can't feel that symptom. There is no "trying" to breathe.

Thank you so much for trying to provide some common sense and science to this stuff. A lot of the things said about the drug is fear based propaganda with little to no facts to back up most of the claims. I've had a prescription for patches for my disability for 6 years now. I'm a chronic pain patient. You are spot on with everything you said. It doesn't constrict the airway. It just makes you sleepy, drowsy, and it's like your brain slowly stops processing the need to breath. And a few grains isn't going to hurt anyone. I noticed variations in effectiveness (which is different from potency) and duration in my patches from brand to brand even within the same brand from batch to batch. Transdermal systems are difficult to get to work right. So just touching it isn't going to hurt anyone like the cops usually say.

@downhomesunset

2 жыл бұрын

I know-they don’t start working the second you slap a patch on!

@xliquidflames

2 жыл бұрын

@@downhomesunset No, absolutely not. It seems to take about 48 hours for it to completely clear my system. So, if I go 2 days without a patch and then put one on, it takes a while. Again, it varies from brand to brand and batch to batch. I will start getting pain relief after about 6 to 8 hours after applying it. But it takes anywhere from 12 to 24 hours for it to build up in my body and get all the way back to full effectiveness. It's extremely slow and gradual. But once it's back to full effectiveness, it's really nice to just change a patch every 3 days instead of taking pills every 6 - 8 hours or whatever the pill equivalent would be. So the idea that just touching a few grains of powder will knock someone out like what happened to the cop in this video is just ridiculous.

I have a question here....You say you give .4 to 2 mg of Narcan, whereas the nasal spray contains 4 mg. Sure, a total of 12 mg Narcan sounds like way much but then it was not administered intravenously like you would do in an ambulance (I assume, so please correct me there if I am wrong). How does Narcan's bioavailability look? Is there a difference between the dose administered through the nose and the dose that ends up being absorbed or is that a 1:1 deal? It was thinking along the lines of "200 mg p.o. of some medication in a tablet might be perfectly safe and OK but 200 mg of the same medication i.v. in one shot would probably be a different story." I do not know whether this is applicable to things like Narcan. I also assume that the makers of those field expedient nasal sprays err on the side of caution and opt for a higher dose because it is not always certain what opiate an individual OD'd on and how much. Additionally, I assume they might also factor in that those administering the drug might not be trained medical professionals like yourself and assume some "spillage", if that makes sense. I'd love to hear our input on that. All best :)

Thank you for this video, my brother 🙏

Physician Assistant here, this does not look like any OD I have ever seen… Not sure what this is, but it does look like an OD.

@venomg5799

2 жыл бұрын

That's because it _isn't_ one!! Propagandists doing their work!

@eddielane9569

2 жыл бұрын

Might want to correct your last sentence.

When you are set up in the circumstances the trainee was in, any sensation in your body that you judge as strange at the time could spark the panic event.

@JJM2222

2 жыл бұрын

Look up fear of fear model.

I a big fan of your Channel . I big respect for you an all other health care workers.

if i were those cops, i would be SO embarrassed. it's one thing to have a panic attack, it's another thing to perpetuate a blatant lie. because of this misinformation, people are afraid to help when someone is genuinely overdosing. a simple blood or urine screening would instantly prove that there was no fentanyl in his system.

Finally a voice of reason

This is a solid analysis that was both educational and respectful, and I love how you stressed the difference between faking it and having a psychosomatic phenomenon. I’m an EMT and also currently a medic intern, and I 100% agree with everything you said. I’ve only seen a couple opiate OD’s so far (I seem to be a bit of a white cloud, which I hate but it makes my coworkers love working with me 😂), but his presentation in that video doesn’t look anything like any opiate OD I’ve ever seen. The first clincher for me was the part early in the video when he’s on the ground and you can hear him kinda hyperventilating. I chuckled and thought “never in the history of EMS has anyone ever said oh no the pt’s breathing too FAST, get the Narcan!” 😂 Anyway, I think you did a phenomenal job addressing this topic, and I totally agree that the facts need to be put out there to prevent more of these kinds of issues. Thank you for making this video, I think it will really go far to combat misinformation. And I’m excited to show it to my preceptor as the launching off point for what I’m sure will be a really good and interesting discussion. I love your videos, keep making awesome content! 🙌🏻🚑

@hvymtal8566

2 жыл бұрын

This has occured once or twice in my area and we simply classify it as "hypochondria-induced syncope." The cops _really_ didn't like that at first but we talked to some supervisors, sat in some briefings and busted some myths and it's pretty smoothed over now

@downthetrailtruecrime

2 жыл бұрын

While this is not an overdose, it does appear to be an anaphylactic reaction. I have experienced this myself hyperventilating right before the throat closes up (I have late onset asthma and Lupus.) I have worked in L.E. for a long time and have seen people react to something as simple as the dye on currency used to thwart bank robbers.

@strnglhld

2 жыл бұрын

@@downthetrailtruecrime Panic attacks commonly make your throat close up.

@HughDWallace

2 жыл бұрын

“never in the history of EMS has anyone ever said oh no the pt’s breathing too FAST, get the Narcan!” - Nailed it! (I'm a former EMT)

@marquisdelafayette1929

2 жыл бұрын

@@HughDWallace let’s be honest.. this is a circle jerk of “look how heroic we are”. Obviously a panic attack and not one of those people in the chain of command didn’t call them out for this misinformation BS. If it was so easy to OD the military would have been all over it. And sometimes cops actually relish giving high doses of narcan to purposely try and put addicts in severe w/ds, thinking it’s funny. Not funny when they think it is a cop.

As someone who has panic disorder and am a recovering opiate addict, I agree with you 100%! He had a full blown panic attack which makes you feel like you’re dying.

In Southern Arizona we have a problem with "M-30's". These are supposed to be Oxycontin. They are crudely measured filler and "just a pinch" of fentanyl to mimic the Oxycontin effect. The problem lies with the "just a pinch..." part of counterfeit M-30's. They are either fatal or totally ineffective. We have double digit fatal OD's in the region. The usual dosing range for Fentanyl is 1mcg per kg. This will leave a patient with the desired effects but wide awake and vitally stable. without the knowledge of just how small an amount this is, its easy to make a mistake that will be fatal for the end user. Good video, prepmedic. I'll be vetting this and using this in the future.

@kungfreddie

2 жыл бұрын

It's not like u take "just a pinch" in each pill... u measure and do maybe 10.000-100.000 pills in a run, if not millions. And then u are adding grams.. not hard to measure.. and any error will b distributed among all the pills. I guess the problem comes if u have morons doing the mixing.

If they don't even understand what fentanyl is and how it works, I don't understand how are they are allowed to serve the public

Very true. I have experience with overdosing on heroin. Usually you just "fall out." Lips and face will turn blue. If you've done a little more than you can handle that's were he's correct in that you just forget to breath. I've revived many people with Narcan. Both with liquid and nasal spray. People just spring back (usually) and puck or get aggressive.

@downhomesunset

2 жыл бұрын

And totally go into withdrawals

Okay I get that they may have believed that the deputy was having an OD at the time. He wasn't treated for it at the hospital and the hospital should have told them that right? So they must know that by making this video and wouldn't that make them lying about this?

@imacds

2 жыл бұрын

And wouldn't the belief that this is an overdose reaction increase the occurrence of this sort of anxiety reaction?

@lich109

2 жыл бұрын

Yes, they would have gotten a toxicology report demonstrating he didn't have fentanyl in his system, but they refused to release it.

@dakotaheino5188

2 жыл бұрын

so scummy they chose to release this video with that knowledge

@sweetielady7710

Жыл бұрын

Great point. It’s also very interesting that when the SD sheriffs department was supposed to do a public appearance addressing the public’s questions regarding the credibility of this whole ordeal, Sheriff Gore cancelled/didn’t show and the deputy who allegedly “overdosed” was conveniently out of the country at that time. I feel like it couldn’t be any more obvious that the sheriff put out that video knowing it wasn’t the truth. “They had good intentions; they really thought it was a panic attack! The sheriff didn’t do this with any kind of agenda or malicious intent!” Yeahhh they can miss me with that b.s. I guess this paramedic who made this video is a mind-reader.

Thanks for the information! Facts/truth matter and will augment responses.

I love how you just got done saying that that was an absurd amount of narcan they just gave him……and then you hear the sheriff yell “I NEED MORE NARCAN!” Lmao

*Super glad you're doing this video.* I was almost screaming at my laptop the first time I saw the badge cam footage. Then I just laughed my ass off. Again, thanks and you have a new subscriber. Peace!

Thanks for the video!

Thanks for showing this and letting me know the truth. I work with the public and they smoke things in public transportation that I feel effects from. My reaction wasn’t like this it was more of a aggravated slight Paranoid feeling.

Gentlemen, outstanding. As usual.

More of this type of video please!

as a recovering fentanyl addict, its crazy how many myths and misconceptions there are around the drug.

Great content Sam. Thanks

A great example of good, sound medical advice being blown completely out of proportion. Fentanyl in large amounts or high concentrations is dangerous but it has to enter the body.

THANK YOU SO MUCH FOR TELLING THE TRUTH!!! Im actually an ex heroin/fentanyl addict..and trust me If you can get high just from touching it , smelling it or being around it..addicts would be the first to know! Oh and I have seen a person od from snorting fentanyl and someone od from smoking it. But keep in mind these people had no tolerance to fentanyl

Thanks for this Video!! The only time it’s an instant reaction from my own experience is when someone does too big of an Iv shoot(or a hot shoot) then it can seem like an instant reaction… but they still usually sit down then pass out. But I agree this was definitely not a real OD

Thanks! I’ve always questioned how it could be so deadly just by handling a small amount yet people do it all the time with no reaction.

I have been waiting for some kind of explanation. Thanks for the informative video! I knew something was fishy when they didn’t explain it at all in the video. They just used this rookies most embarrassing moment as a propaganda PSA.

Oh snap!

I don’t want this to translate into a situation where a recreational user who can and should be able make his/her own decisions are now at risk of being over-charged and over-sentenced based on a risk that doesn’t exist. Addicts need help and assistance not jail. Fentanyl IS dangerous but this can quickly spiral out of control into “My dad, a police officer, died bc of fentanyl and we need to punish users even more even though it will never do anything…”

The head injury from the fall was severe enough to cause what is known as the Fencing Response (ATNR), which is the stiffening of the arms after a traumatic blow to the head. That injury posed a much greater risk than the Fentanyl "exposure".

Being I was a heroin addict for well over 20yrs I know all to well how a overdose works all my overdoses where narcan was administered. I took a shot IV and within 1min I was out. That’s why they call it going out. You can also overdose when sleeping and your breathing slows traumatically till you just stop. I also don’t believe this was a overdose.

Very informative, i stumped on the video and was impressed of what happened, however i think we still have to give credit to the deputy on his reaction to save his trainee. Question: so you got to excuse my lack on knowledge about drugs, im very happy this is not something we have to deal very often, got a few questions for the community. 1) could this be a type of weaponized fetanyl? So they can mass produce in a cheaper way? 2) can this happen with other types of drugs? Not fetanyl but maybe something else, that you can end up intoxicating yourself just by contact? Thank for the information, and again, even if they got wrong about the fetanyl exposure, i think the response of the officers is still good, and maybe lifesaving.

@UmbraKamui

2 жыл бұрын

1) from everything I've read/studied no, highly unlikely. 2) Potentially but not really, the best vector is inhalation its quicker and far easier than contract due to skin and other barriers

@stefankeller7176

2 жыл бұрын

@@UmbraKamui thank you for the answer :)

@UmbraKamui

2 жыл бұрын

@@stefankeller7176 Glad I could help

okay, i click this video and did not expect that beautiful mic quality !

I have to say I really have a lot of respect for you as a professional. When my wife was at her last months of her cancer battle with multiple myeloma, I had 3 panic attacks and each panic attack lasted for around 3 hours each time. I called an ambulance at the third time because I was sure I was going to have an heart attack. She was in a really bad shape and the whole thing span for 5 years. When the medics came to our appartment, checked me and then calmly said "No, every thing is fine. Your blood sugar is fine, your pulse is fine etc. and that I should try to breath through my nose and when exhaling I should press my lips together so I wouldnt push the air out my mouth too fast, it was way better after some minutes. When I had a 4th panic attack I did just did what medics told me before and just remembered that it was a panic attack and not a heart attack and I was more or less fine again within minutes. I am sure it was the general stress of the situation. So what you say about the brain and placebo. makes a lot of sense. If the medics back then would have acted like "Oh no, buddy you are the edge of having an heart attack" I would have acted different for sure. Thanks for your videos on that subject. Very informative (sorry, english is not my native language, if I made any mistakes in spelling or grammar).

About the impulse to breathe, we had a study in our facility (working as a CRNA-ish equivalent) where we administered remifentanil until we got a low enough sedation score (the study was for BIS-monitoring standards). At the lower end of the sedation score, the patient didn't have enough energy/urge to open their eyes or breathe, but would answer questions between bagging :p About the "fentanyl doesn't make it hard to breathe" if we be splitting hairs, if you inhale a chunk of it, it will probably cause high dose chest wall rigidity?

@craigandersen2476

2 жыл бұрын

WTF is a CRNA-ish equivalent? Poser.

@kittypewpew

2 жыл бұрын

@@craigandersen2476 Basically a RN that is to the anesthesiologist what a scrub nurse is to the surgeon

@willispautz

2 жыл бұрын

@@kittypewpew but you’re still not a CRNA?

@kittypewpew

2 жыл бұрын

@@willispautz my country doesnt have that, we dont work independently

This looks like me when I have gluten. I've developed a bad allergy to it and when I accidently consume gluten, within 10-20mins or so I start to have difficulty breathing, perfuse sweating and eventually collapsing and then maybe 10-20mins or so after the onset allergy it clears up I get cold and I'm back to normal-ish. So I'd say the exposure could have happened way before the call. Exposure being allergy related.

@jaymatthews9324

2 жыл бұрын

Hmm, so your reaction a very common protein is almost exactly the same as this officer's nocebo effect. Interesting

@michaelseditor

2 жыл бұрын

Not necessary. When I have accidental consumption after the episode and I'm laying on the ground in a pool of my own sweat it goes away without the use of antihistamine.

I watched Skinnymedic on why not to follow you... I subbed to you both... Lol! AMAZING videos!!! As a former medic, trying to explain to people that Fentanyl can't be absorbed through the skin is exhausting! They argue about the 'news' stories they've seen.... Uhhggg!!!

@PrepMedic

7 ай бұрын

Totally agree, it’s an uphill battle and people cite news stories like it’s research 😂.

It would be awesome to see a video on how to help someone (from the EMS side) who is having a placebo kind of reaction to a drug. Thanks for the informational vid!

@PrepMedic

2 жыл бұрын

Talk soothingly, reassure the patient, monitor them and wait for it to stop.