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

@@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...

@@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?

@@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.

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

The video was totally fake…all police knew this.

@@williamwilson6499 They will never admit it though.

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.

@@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.

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 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.

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..

@@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.

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.

@@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 ...)

@@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!

I agree I am in the same situation.

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.

@@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.

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

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.

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!!

@@972CHENZO holoy shit

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

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.

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!!!!

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.

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

The often-overlooked social contagion.

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 to hear you are clean, keep being strong!

X2 this comment from another ex fentanyl user.

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

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

@@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.

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

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

An* immunity

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

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

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.

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

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

Me too. Stay sober bro.

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

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

Might want to correct your last sentence.

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.

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

@@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.

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

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

so scummy they chose to release this video with that knowledge

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.

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?

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.

Look up fear of fear model.

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

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.

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

“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)

@@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.

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

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.

And totally go into withdrawals