There have been reports of “intoxication” or adverse effects among first responders and law enforcement due to exposure to a “powder” suspected to be fentanyl or its analog.
American College of Medical Toxicology and American Association of Clinical Toxicology recently published a position statement to help clarify the potential health risk associated with exposure to fentanyl and its analogs.
Opioid toxicity is unlikely from incidental dermal exposure.
Nitrile gloves provide sufficient protection against dermal exposure.
N95 respirator provide sufficient protection against aerosolize fentanyl/opioids.
Naloxone should be administered for patients with objective signs of opioid toxicity - hypoventilation and CNS depression – not for vague or subjective symptoms.
