AST June 2018 Magazine Volume 24 | Page 51

Volume 24 (This episode topic was requested by a responder in Sioux Falls, who asked Grant Coffey to review Fentanyl. Opioids are a very serious exposure threat in the workplace, for first responders and even drug detection K-9s. This FLIR PRIMED episode delivers critical steps responders can take for pro- tection when responding to opioid incidents. Courtesy of FLIR Systems and YouTube) June 2018 Edition • Special risks include clan lab scenes with precursor chemicals, the presence of bulk powder, proximity, and time spent in the hot zone. • First responders on scene should don the proper Personal Protective Equipment (PPE): • Bulk samples can be tested with a variety of instru- ments including Raman and IR, but a GC-MS is the best choice for confirming the chemical identity. • Be alert for signs and symptoms of exposure and keep Naloxone injectors on hand. • Bag and destroy grossly contaminated clothing and perform decon on scene. Don’t use hand san- itizer. Upon return home or to the station, shower with soap and water. • Remember, Police K9s are also at risk. Low Risk: (patient care with minimal or no product present, pills only) Don universal precautions, ie; “Opioid Safe Response Basics” Nitrile gloves, eye protection, long sleeves or paper Exercise caution at any scene where Fentan- suit/coveralls, N-95 face mask. yl is present. Moderate Risk: (dependent on product amount Synthetic opioids are a very SERIOUS threat and form) Full dermal protection with coveralls or for first respond- ers. • Perform an initial risk assessment and, if warranted, call for specialized Police a