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Fentanyl fever and MIH opiate interventions

Separating fact from fiction on the opioid crisis, fentanyl and its derivatives, and community paramedicine initiatives


There is no single focus or quick change that any EMS or public health service can take to attempt to solve the opiate crisis.

Photo/Arizona National Guard

Fears and hysteria are running rampant throughout prehospital care regarding the risks of confronting and caring for patients possessing and using fentanyl.

In Fentanyl Fever, Dr. Jerry Snow, a medical toxicologist and emergency medicine physician from Phoenix joins the MCHD Paramedic Podcast for an interesting discussion about the opiate crisis facing America today, with specific emphasis on fentanyl and its derivatives.

We discuss EMS and first responder exposure risks, and preventative measures along with patient care pearls when treating patients suffering from a fentanyl overdose.

If you’re a fan of “mythbusting” and separating fact from fiction, this episode is for you. Sensationalism drives profit but good solid science drives patient care.

Central Indiana has been one of the epicenters for the growing opiate epidemic. Dr. Dan O’Donnell, medical director for Indianapolis EMS, joins The MCHD Paramedic Podcast to discuss the novel approach, utilizing community paramedicine, that IEMS has taken to combat this devastating public health crisis in MIH Opiate Interventions.

There is no single focus or quick change that any EMS or public health service can take to attempt to solve the opiate crisis.

As Dr. O’Donnell will explain, success will involve a multidisciplinary approach that will undoubtedly involve EMS in order to meet patients at their most vulnerable and then support them through recovery.


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Fentanyl Fever

MIH Opiate Interventions

The MCHD Paramedic Podcast was launched in early 2018 in an effort to provide easily consumable core-content EMS education and insights from prehospital care thought leaders. The Clinical Services Department of The Montgomery County Hospital District EMS service developed the podcast as a tool to better engage and disseminate continuing education to our MCHD medics as well as first responders and EMS professionals nationwide.

Dr. Casey Patrick is the assistant medical director for Montgomery County Hospital District EMS and is a practicing emergency physician in multiple community emergency departments across Greater Houston. His EMS educational focus is on innovative paramedic teaching via the MCHD Paramedic Podcast. Dr. Patrick’s prehospital clinical research involves the investigation of paramedic use of bolus dose intravenous nitroglycerin for acute pulmonary edema and the implementation of lung protective ventilation strategies for intubated EMS patients. Casey and his wife, Alyssa, work and live in Conroe, Texas, and Spokane, Washington. Together they have five children: Mia, Ainsley, Brock, Dean and Will.

Dr. Dickson graduated with honors from the University of Texas Health Science Center San Antonio in 2001 and completed emergency medicine training at Indiana University in 2004. He serves as the EMS medical director at Montgomery County Hospital District EMS and an assistant professor of emergency medicine at Baylor College of Medicine in Houston, Texas. His academic interests include systems of care in stroke and other time-sensitive emergencies, neurologic emergencies and education. He is board certified in emergency medicine in both the U.S. and Australasia, and has subspecialty board certification in EMS medicine. He has authored multiple professional articles and presented at regional, national and international conferences on emergency medicine and EMS topics.