re: Question about fentanol?

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You would think cops would carry narcan by now.

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Bad idea. They are not educated enough in medicine to use this. Let the Paramedics do their job.

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What does illegal fentanyl look like? Powder/liquid/gel? I've only seen it in patches

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If you have had surgery, unless you have allergy, you were given Fentanyl. It is just a clear liquid in a vial or glass ampoule that is given IV. Like stated before it is very respiratory depressing so it is very easy to overdose at home.

Fentanyl is prescribed by use of patches absorbed through the skin in a TIME RELEASED manner so, yeah, I would be skeptical about touching a large quantit They are prescribed in 25, 75, 100, & 150 MICROGRAMS.
Not milligrams as are all other medicines.
shite is dangerous.
Had experience with this shite.

Also, the stuff is dosed in micrograms. 1000mcg = 1 mg. Typical doses for trauma if you came in the ER after being on the wrong end of a baseball bat could range from 25-100 mcg, for context.

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Except they are nothing alike

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Fentanyl can be deadly just like Diprivan (Michael Jackson Drug.) Most people know what Morphine is. Well Fentanyl is 100 times stronger than Morphine. It dose not take much to make you stop breathing.

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Fentanyl is prescribed by use of patches absorbed through the skin in a TIME RELEASED manner so, yeah, I would be skeptical about touching a large quantit They are prescribed in 25, 75, 100, & 150 MICROGRAMS.

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Those are mcg/hour. I think the 100 mcg/hr patch is around the same dose as 80 mg OxyContin bid. Still quite potent, but how pure is the random fentanyl on the street?

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Narcan is going to royally piss off whoever you give it to and cause them to become combative and throw up. Really should avoid it unless the patient is absolutely dying and you cannot intubate/want to avoid intubation. I'm not sure if I'm comfortable with cops making that call yet- especially since they might use it as evidence the suspect actually took an opiate and just start giving it.

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They would need a lot of training and be BLS and ACLS certified if they want to give rescue drugs in the field.

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Narcan is going to royally piss off whoever you give it to and cause them to become combative and throw up. Really should avoid it unless the patient is absolutely dying and you cannot intubate/want to avoid intubation

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That's only if they are on opioids.

I also have a question... if it can kill you just by touching little specs of it, how do people use it to get high without it killing them?

I'm not too up to speed on their training needed to do this, but I will tell you ACLS training won't give them the clinical acumen necessary to make the judgement call.

I remember a patient brought into my ER and I responded to the intubation code- heroin OD.

Paramedics gave him narcan in the field and had to re-sedate him after because he started fighting them. Doc was pissed. He asked how he was satting and if he ever lost a pulse. They said his 02 SATs were 88-95 but his respiratory rate was like 4-6. He yelled at them for like 5 minutes asking why they narcan'd a reasonably stable patient

Yeah. It's not like flumazenil, the benzo antagonist that can induce seizures if given to a chronic benzo abuser. Opioid withdraw sucks, but doesn't cause seizures like etoh and benzodiazepines.