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Seattle firefighter/EMTs log 100th buprenorphine dose in pilot overdose program

Seattle has cut overdose deaths 20% since 2024 and strengthened its Health 99 post-overdose response team

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Seattle Fire Department

SEATTLE — In August, Seattle firefighters reached their 100th use of buprenorphine under the fire department’s pilot program for opioid overdoses and withdrawal.

The city stated in a press release that the program, which began in early 2024 under Mayor Harrell’s fentanyl executive order, expanded to allow EMT-Basics to administer buprenorphine, making Seattle the first city in the nation to do so.

| MORE: EMS, pioneering solutions in the opioid crisis

“As the first city in the nation to operationalize firefighter/EMTs administering buprenorphine in response to the devastating opioid overdose crisis, Seattle is at the forefront of innovative solutions that will save lives,” Mayor Bruce Harrell said. “It’s an honor to celebrate the 100th administration of this evidence-based program that increases the chances that people recovering from an overdose or suffering withdrawal will say ‘yes’ to treatment and care. With a new post-overdose center coming online this month and our increased investments in treatment options, we are building a network of support for our family, friends, and neighbors taking the first step on their pathway to recovery.”

Seattle overdose deaths are down 20% from 2024 and 36% from 2023, King County medical examiners report.

Since the pilot began, paramedics have used buprenorphine 48 times and firefighter/EMTs 100 times, covering 148 overdose calls. Some of those patients needed more than one dose.

The department has 54 paramedics and 19 trained firefighter/EMTs, but its Health 99 overdose team now leads field dosing. Crews handle about 63 overdose calls weekly, and Health 99 has answered more than 1,376 since July 2023.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.