A brush with fentanyl almost killed this deputy trainee

Amended by myself as poster:

"On Aug. 6, the newsletter included a story about a dramatic video that purported to show a San Diego County sheriff's deputy collapsing after handling fentanyl. Health experts have since pushed back, saying it's impossible to overdose on fentanyl simply through dermal contact. Sheriff Bill Gore acknowledged that he, not a doctor, concluded the deputy overdosed. A.P. | N.Y. Times"


This deputy trainee found a white powder with his trainer while searching a vehicle--my best guess is that he fluffed the bag and garments in the open hatchback and breathed in enough fentanyl powder (50-100 X more powerful than heroin by dose) to put himself in the lethal respiratory overdose range nearly instantly. You even hear the trainer say "too close"---it probably was NOT absorbed through the skin that quickly or potently. If he hadn't gotten the Narcan immediately, if he'd been alone, he'd probably be death of OD/suffocation.

"On July 3, 2021, Deputy David Faiivae from the San Marcos Sheriff's Station put on his uniform and badge for his patrol shift.

He had no idea he was about to go through one of the worst days of his life after being exposed to Fentanyl.

If it wasn't for the quick-thinking of his Field Training Officer, Corporal Scott Crane, in administering Naloxone, Deputy Faiivae would not be alive today.

The San Diego County Sheriff's Department has used body camera footage of this traumatic incident, along with interviews from Deputy Faiivae and Corporal Crane, to create a public safety video spotlighting the dangerous and often deadly effects of Fentanyl."

San Francisco has lost twice as many people to fentanyl/opiate overdose as to COVID. It's just so powerful and has such high potency that as a street drug--it's lethal.
BSRsays...

I did a body removal of a male and female sitting in chairs at the kitchen table who overdosed. They were found by a friend.

Their 2 month old baby was found in the crib still alive crying.

rancorsays...

There's a lot of internet traffic that claims this was essentially "faked" by the department. His controlled fall, some lack of urgency by the trainer, good color/not suffocating... Also a lot of "this is not how fentanyl works" from medical professionals.

cloudballoonsays...

Well... faked or not, the message and agenda is clear, nobody should touch that stuff, police or civilian.

rancorsaid:

There's a lot of internet traffic that claims this was essentially "faked" by the department. His controlled fall, some lack of urgency by the trainer, good color/not suffocating... Also a lot of "this is not how fentanyl works" from medical professionals.

SFOGuysays...

crap.

BSRsaid:

I did a body removal of a male and female sitting in chairs at the kitchen table who overdosed. They were found by a friend.

Their 2 month old baby was found in the crib still alive crying.

SFOGuysays...

Yah, maybe--if you tried to argue it was skin absorbed. Sure--it could have been a panic attack? Maybe? Or staged? Dunno. It's still true that Fentanyl is terrifyingly powerful.

But if they were rousting that car for longer or had earlier contact--PubMed says nasal inhalation takes 7 minutes to effectiveness.

There's also the terrifying possibility he ran into sufentanil. Heroin/morphine is given a potency of 1X; Fentanyl is given a potency of 50X to 100X heroin/morphine; Sufentanil--why was this invented?--has a baseline potency of 7.5X greater than Fentanyl---which makes if between 375X and 750X more potency microgram for microgram than heroin/morphine?

I'm also always struck that the lethal overdose amount of just regular old Fentanyl is--about the size of one grain of rice you see it in a glass vial. The other comparison I've seen is that's about the amount of white powder that would sit in one layer on Lincoln's ear on a penny.

NIOSH says anyone messing around with suspected fentanyl should wear PPE--and then very, very carefully discard it and wash down afterwards.

rancorsaid:

There's a lot of internet traffic that claims this was essentially "faked" by the department. His controlled fall, some lack of urgency by the trainer, good color/not suffocating... Also a lot of "this is not how fentanyl works" from medical professionals.

eric3579says...

I'll be skeptical until they produce a toxicology report. Don't necessarily think it was faked but a misdiagnosis of what happened seems reasonable.

StukaFoxsays...

Please don't be offended, but I didn't upvote this comment. Not because there was any fault in your writing or the telling, but because I felt like upvoting was somehow lessening the horror I felt when I read it.

BSRsaid:

I did a body removal of a male and female sitting in chairs at the kitchen table who overdosed. They were found by a friend.

Their 2 month old baby was found in the crib still alive crying.

BSRsays...

No offense taken.

I appreciate your comment more.

StukaFoxsaid:

Please don't be offended, but I didn't upvote this comment. Not because there was any fault in your writing or the telling, but because I felt like upvoting was somehow lessening the horror I felt when I read it.

SFOGuysays...

That would be amazing.
I look forward to understanding what the heck happened.

Hysterical reaction?

On the tox screen; that stuff is funny. I think the reason Anesthesia likes it is its super short half life --so--I hope someone thought to get samples before it (maybe?) got metabolized....

"Fentanyl is a synthetic opioid with µ-agonist pharmacologic effects. After intravenous injection, fentanyl plasma concentrations fall rapidly, with sequential distribution half-lives of about 1 minute and 18 minutes, and a terminal elimination half-life of 475 minutes."

eric3579said:

I'll be skeptical until they produce a toxicology report. Don't necessarily think it was faked but a misdiagnosis of what happened seems reasonable.

CrushBugsays...

Most of the feedback from the medical community on this issue has stated that it simply doesn't work this way. "Faked" might be over stating it, but let's not ignore the police lying for their own ends as a factor.

For example, one of the feedback items from a doctor was how fentanyl "patches" take about 6 hours for their first effects to start happening, so that is one of the reasons this doctor was very skeptical of this.

NWhitesays...

It also might have been Carfentanil, which is 10,000 times more potent than morphine and 100 times more potent than fentanyl. This is a seriously dangerous drug.

Why was it invented? The drug is used to tranquilize elephants and other large mammals.

SFOGuysaid:

...There's also the terrifying possibility he ran into sufentanil. Heroin/morphine is given a potency of 1X; Fentanyl is given a potency of 50X to 100X heroin/morphine; Sufentanil--why was this invented?--has a baseline potency of 7.5X greater than Fentanyl...

newtboysays...

"Sheriff Bill Gore said Monday that the dramatic video his department publicized last week, intending to highlight the danger of fentanyl to law enforcement, was produced without any input from physicians."

rancorsaid:

There's a lot of internet traffic that claims this was essentially "faked" by the department. His controlled fall, some lack of urgency by the trainer, good color/not suffocating... Also a lot of "this is not how fentanyl works" from medical professionals.

newtboysays...

So many problems with this propaganda piece, now admittedly produced by the Sheriffs to show how dangerous their jobs are....just like almost everything police say, self serving lies.

I'm gonna add *lies and *debunked since all medical professionals agree this is not what a fentanyl overdose looks like in numerous ways and is almost certainly staged by terrible actors.

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