Being An Eyewitness of Fentanyl’s Terrible Toll

Fire Chief Jesse Alexander has been serving in the California Department of Forestry and Fire Protection (CAL FIRE) for 23 years. During his career, he has witnessed the devastating impacts of fentanyl on both the public and emergency responders. Alexander shared his experiences and insights on the dangers of fentanyl and the importance of educating the public about this lethal substance.

Alexander shared a personal experience while dealing with fentanyl on the job from when he was the Incident Commander for the largest mass overdose due to fentanyl in US history. “14 people suffered overdose symptoms, resulting in 6 cardiac arrests … and ultimately 1 fatality,” said Alexander. This overdose was done by dab pens which are devices used for vaporizing cannabis concentrates. Dab pens are not the same as vape pens, which are used for e-liquids. When explaining his experiences with fentanyl and how it affects firefighters on the job, he said, “It takes an emotional toll on firefighters when dealing with the fatal effects of any overdose.”

One of the greatest dangers to first responders is accidental exposure to fentanyl. However, to decrease that risk, strict safety protocols are in place. Chief Alexander emphasized the importance of treating all medical emergencies the same by following safety protocols when on the scene of an incident involving fentanyl. These protocols include scene safety and body substance isolation. “Accidental absorption through the skin takes several hours and can be quickly mitigated,” said Alexander. Proper use and disposal of medical gloves to prevent accidental skin absorption is essential.

Chief Alexander also spoke about the impact of fentanyl related incidents on first responders and the community, stating, “the increase in usage and resulting overdoses from fentanyl creates a ‘draw down’ in fire, paramedic, law, and hospital services. The impact to the community is similar to other highly addictive substances, including devastating results to family and loved ones from the high overdose rate.”

Alexander’s wants students to know that, “... accepting any type of pill or drug (outside of prescription medication from a pharmacy) carries a risk of accidental or intentional contamination with fentanyl.” He stressed the importance of seeking help for addiction and substance abuse issues. “It is highly addictive, difficult to identify, easily accessible, and extremely lethal,” said Alexander. He also advised people struggling with addiction to seek help as this is the most highly addictive substance one can encounter and is extremely challenging to handle without professional help. Fentanyl impacts individuals struggling with addiction and substance abuse, so there is an urgent need for prevention and treatment measures.

“Public service announcements, education in schools & colleges, and community outreach to vulnerable groups,” can all help to contribute to education and outreach to vulnerable groups, said Alexander.