In Opioid Crisis, A New Risk for Police: Accidental Overdose

Accidental exposures to drugs are an increasing danger to field officers and K-9s, especially now that fentanyl — which is 50 to 100 times more potent than morphine and 30 to 50 times more potent than heroin — is commonly mixed into street drugs.

This May 25, 2017 photo shows Harford County Major John R. Simpson is seen at the Harford County Sheriff’s Office, MD., holding up elements of a protective suit that the sheriff’s office is now providing to deputies sent to crime scenes involving heroin and synthetic opioids. After a deputy accidentally overdosed while at a drug scene, the department rushed to procure protective gear and establish protocols for officers responding to drug scenes. (AP Photo/Juliet Linderman)

As Cpl. Kevin Phillips pulled up to investigate a suspected opioid overdose, paramedics were already at the Maryland home giving a man a life-saving dose of the overdose reversal drug Narcan. Drugs were easy to find: a package of heroin on the railing leading to a basement; another batch on a shelf above a nightstand.

The deputy already had put on gloves and grabbed evidence baggies, his usual routine for canvassing a house. He swept the first package from the railing into a bag and sealed it; then a torn Crayola crayon box went from the nightstand into a bag of its own. Inside that basement nightstand: even more bags, but nothing that looked like drugs.

Then — moments after the man being treated by paramedics came to — the overdose hit.

“My face felt like it was burning. I felt extremely light-headed. I felt like I was getting dizzy,” he said. “I stood there for two seconds and thought, ‘Oh my God, I didn’t just get exposed to something.’ I just kept thinking about the carfentanil.”

Carfentanil came to mind because just hours earlier, Phillips’ boss, Harford County Sheriff Jeffrey Gahler, sent an email to deputies saying the synthetic opioid so powerful that it’s used to tranquilize elephants had, for the first time ever, showed up in a toxicology report from a fatal overdose in the county. The sheriff had urged everyone to use extra caution when responding to drug scenes.

Carfentanil and fentanyl are driving forces in the most deadly drug epidemic the United States has ever seen. Because of their potency, it’s not just addicts who are increasingly at risk — it’s those tasked with saving lives and investigating the illegal trade. Police departments across the U.S. are arming officers with the opioid antidote Narcan. Now, some first responders have had to use it on colleagues, or themselves.

The paramedic who administered Phillips’ Narcan on May 19 started feeling sick herself soon after; she didn’t need Narcan but was treated for exposure to the drugs.

Earlier this month, an Ohio officer overdosed in a police station after brushing off with a bare hand a trace of white powder left from a drug scene. Like Phillips, he was revived after several doses of Narcan. Last fall, 11 SWAT officers in Hartford, Connecticut, were sickened after a flash-bang grenade sent particles of heroin and fentanyl airborne.

Phillips’ overdose was eye-opening for his department, Gahler said. Before then, deputies didn’t have a protocol for overdose scenes; many showed up without any protective gear.

Gahler has since spent $5,000 for 100 kits that include a protective suit, booties, gloves, and face masks. Carfentanil can be absorbed through the skin and easily inhaled, and a single particle is so powerful that simply touching it can cause an overdose, Gahler said. Additional gear will be distributed to investigators tasked with cataloguing overdose scenes — heavy-duty gloves and more robust suits.