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Fentanyl
FURANYL-FENTANYLACRYL-FENTANYLACETYL-FENTANYL

A Briefing Guide
for First
Responders

CARFENTANIL3-METHYLFENTANYL & SYNTHETIC OPIOIDS



UNITED STATES DRUG ENFORCEMENT ADMINISTRATION



CONTENTS

HistoryofFentanyl3

DescriptionofFentanylRelatedSubstances5

CommonIllicitFormsofFentanylandSyntheticOpioids6

RecommendationsforFirstResponders9
ExposureRisksandTreatment15

FentanylDetection17

RemediationandDecontaminationRecommendations18

Resources19










Disclaimer

Thisdocumentcontainsrecommendationsonpotentialbestpracticesforfirstrespondersthat
may encounter, test and transport exhibits that could contain fentanylrelated substances. It
also contains recommendations for handling and processing of crime scenes and nondrug
evidence, like money, that could be contaminated. This interim guidance is intended for
educationalandawarenesspurposesonly,andshouldnottobetreatedastechnicalguidance
relatedtothehandlingandprocessingoffentanyl.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION



EXECUTIVE SUMMARY

Inthelastseveralyears,U.S.LawEnforcementhasseenadramaticincreaseintheavailability
of dangerous synthetic opioids. A large majority of these synthetic opioids are structural
derivativesofthesyntheticdrugfentanyl.Fentanylisasyntheticopioidcurrentlylistedasa
ScheduleIIprescriptiondrugthatmimicstheeffectsofmorphineinthehumanbody,buthas
potency50100timesthatofmorphine.Duetothehighpotencyandavailabilityoffentanyl,
both transnational and domestic criminal organizations are increasingly utilizing these
dangerous synthetic opioids as an adulterant in heroin and other controlled substances. The
presenceofthesesyntheticopioidsintheillicitU.S.drugmarketisextremelyconcerningasthe
potency of these drugs has led to a significant increase in overdose incidents and overdose
relateddeathsthroughoutthenation.

WARNING

Thereisasignificantthreattolawenforcementpersonnel,andotherfirstresponders,who
may come in contact with fentanyl and other fentanylrelated substances through routine
law enforcement, emergency or lifesaving activities. Since fentanyl can be ingested orally,
inhaled through the nose or mouth, or absorbed through the skin or eyes, any substance
suspectedtocontainfentanylshouldbetreatedwithextremecautionasexposuretoasmall
amountcanleadtosignificanthealthrelatedcomplications,respiratorydepression,ordeath.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


SECTION1 overdose deaths in their respective areas.
HistoryofFentanyl Between 2005 and 2007, approximately
1,013 fentanylrelated deaths in this
Fentanyl was first synthesized in 1959 by a corridor were attributed to the lethal
Belgian chemist and later marketed as an heroin/fentanyl mixture. This time, the
intravenous analgesic drug, Sublimaze. adulterated heroin was traced to a
Other formulations of pharmaceutical clandestine laboratory located in Toluca,
(legal) fentanyl were developed to provide Mexico which was ultimately seized and
opioid pain management including a dismantled.
transdermal patch, flavored lollipop,
sublingual/effervescent tab, and nasal
spray.

In the 1990s, the DEA discovered what is


believed to be one of the first instances of
domesticallyproducedillicitfentanylinthe
United States. In 1991 a brand of street
heroin known as Tango and Cash was
found to contain approximately 12 percent
fentanylandwasbelievedtoberesponsible
for an estimated 126 overdose deaths. CurrentTrends
Investigators were ultimately able to trace
this clandestinely produced fentanyl to Beginning in 2013, the DEA, along with its
Wichita, Kansas where they seized two law enforcement partners, began noticing
laboratories and approximately 40 pounds an alarming number of overdose incidents
ofadditionalfentanyl. and deaths related to opioids throughout
the nation. These cases were found to be
Between 2000 and 2005, U.S. law the result of illicit opioids, such as
enforcement agencies identified and counterfeit pharmaceutical products
dismantled several clandestine fentanyl containing fentanyl, fentanylrelated
laboratorieslocatedthroughouttheUnited substancesandothersyntheticopioids.
States. However, beginning in 2005, law
enforcement agencies in the Midwest and Atpresent,opioidscontinuetobethemost
Northeast, from Chicago to New Jersey, significant contributor to overdose deaths
began noticing an alarming number of throughout the United States. The Centers

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


for Disease Control (CDC) reported 33,091 processing and distribution. Seizures
deaths in 2015 which were the result of indicate that China supplies lower volumes
opioid overdoses alone. Of those deaths, of highpurity fentanyl, whereas fentanyl
9,580 were caused by synthetic opioids seizuresfromMexicoarehighervolumebut
other than methadone, which includes lowerinpurity.Fentanylisalsoroutedand
fentanyl and fentanylrelated substances smuggled through Canada. Chinabased
an increase of 72.2 percent over previous trafficking organizations have also been
years. known to use the internet to distribute
fentanyl, fentanylrelated substances, and
syntheticopioidsglobally.
(CDC) reported
Given Chinas role as an exporter of illicit
33,091 deaths in 2015
fentanyl products destined for the United
which were the result
States, DEA officials recently met with
of opioid overdoses Chinese officials in Beijing. This meeting
alone. Of those prompted China to regulate four fentanyl
deaths, 9,580 were related substances under Chinese law,
caused by synthetic effectiveMarch1,2017,inanefforttohelp
opioids stemtheflowofthesedangeroussynthetic
opioidsintotheUnitedStates.

While pharmaceutical fentanyl in the form In 2014, the DEA established the Heroin
oftransdermalpatchesorsublingualtablets Fentanyl Task Force (HFTF). The HFTF
is diverted on a small scale, the current consists of several government agencies
increaseinopioidrelateddeathsappearsto working together to facilitate a whole of
be driven by illicitly produced fentanyl government approach to the fentanyl and
products. synthetic opioid epidemic in the United
States.
Due to the high potency of fentanyl and
other synthetic opioids, transnational The HFTF currently consists of personnel
criminal organizations across the globe are fromtheDEA,HSI,CBP,FBI,USPIS,andthe
competing for the U.S. market. China and IRS. The HFTF is using every available
Mexico appear to be the main source resource to support U.S. law enforcement
countries for illicit fentanyl smuggled into agenciesintheirrespectivesyntheticopioid
the United States for domesticbased investigations.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION



SECTIONII
DescriptionofFentanylRelated
Fentanyl and fentanylrelated substances
Substances
have potency much greater than that of
morphine, but effects can vary greatly
Legal forms of fentanyl are prescribed depending on the identity, potency, and
with,orasareplacementfor,morphineand puritylevelofthesubstancesencountered.
are used in both human and veterinary
medicineasananestheticduringsurgery,to While fentanyl may be 50100 times more
manage pain after surgery, and to treat potent than morphine, and 3050 times
chronic pain in patients physically tolerant morepotentthanheroin,carfentanil,which
tootherpainkillers. is structurally related to fentanyl, is up to
10,000 times more potent than morphine.
Illicit forms of fentanyl have been, and The toxic dose of carfentanil in humans is
continue to be, identified in conjunction unknown. Regardless, any substance
withheroin,asareplacementforheroin,or suspected to contain fentanyl should be
in the production of counterfeit treated with extreme caution as exposure
pharmaceutical tablets which mimic to a small amount can lead to significant
oxycodone, hydrocodone, and alprazolam healthrelatedcomplications,ordeath.
products.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


SECTIONIII such as heroin, cocaine, and
CommonIllicitFormsofFentanyl methamphetamine. In addition, fentanyl
and fentanylrelated substances have been
andSyntheticOpioids
identified in counterfeit pharmaceutical

products, such as tablets that mimic


There are currently numerous fentanyl
oxycodone,hydrocodone,andalprazolam.
related substances available on the illicit

domestic market including, but not limited
Fentanyl and fentanylrelated substances
to, 4fluoroisobutyryl fentanyl, furanyl
areincreasinglyalsofoundasacomponent
fentanyl, acrylfentanyl, acetylfentanyl,
of speedball mixtures with stimulants
carfentanil,and3methylfentanyl,aswellas
suchascocaine.
othersyntheticopioidssuchasU47700.

More recently, fentanyl and fentanyl


Fentanylandcarfentanilarecurrentlylisted
related substances have been combined
under Schedule II of the Controlled
with heroin and other synthetic opioids,
Substances Act (CSA) meaning they have a
such as U47700, to create a deadly opioid
currently approved medical use and a high
mixcalledGreyDeath,duetotheunique
potential for abuse which may lead to
grey,concretecoloredappearance.
severe psychological and/or physical
dependence.

Other illicit opioids, including several fentanyl and fentanyl


fentanylrelated substances, AH7921, and related substances have
U47700,arefoundinScheduleIoftheCSA. been combined with
Thismeanstheyhavenocurrentlyaccepted heroin and other
medical use in the United States, a lack of synthetic opioids, such as
accepted safety for use under medical
U47700, to create a
supervision,andahighpotentialforabuse.
deadly opioid mix called

While fentanyl and some fentanylrelated


Grey Death,
substances (such as alfentanil, carfentanil,
remifentanil, and sufentanil) can have a
legitimate medical use, other illicit forms, Further, information gleaned from recent
both imported and clandestinely seizures and arrests nationwide have
manufactured have been used as an indicated that some criminal organizations
adulterant in other controlled substances areimportinganddistributingpurefentanyl

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


and fentanylrelated substances as the
profitmarginscanbesignificantlyhigher.

For example, due to the elevated potency


of fentanyl over traditional opioid drugs
(i.e.,heroin),criminalorganizationscanuse
one kilogram of fentanyl to produce
approximately 1 million (1 milligram)
counterfeitpills,resultinginpotentially10
20milliondollarsinrevenue.Therearealso
reports that consumers in some areas are
seeking fentanyl over heroin, as the rush
isgreater.

Currently illicit fentanyl, fentanylrelated


substances,andothersyntheticopioidscan
resemblepowdereddrugssuchasheroinor
cocaine. Fentanyl, or other synthetic
opioids, in pill or capsule form have been
represented as OxyContin (oxycodone),
Xanax (alprazolam), or other diverted
pharmaceuticaldrugs.

Fentanylrelated substances have been


identifiedin:

Powder
Pill
Capsule
Liquid
(andon)BlotterPaper

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


FirstQuarter2017EmergingThreatReport

Duringthe1stquarterof2017,theDEAlaboratorysystemhad230identificationsoffentanyl,
fentanylrelated substances, and other synthetic opioids based on seized drug evidence.
Fentanyl accounted for approximately 58 percent of the identifications. The second most
prominentfentanylrelatedsubstancewasfuranylfentanyl,whichaccountedfor26percentof
the identifications. Of all 230 exhibits, heroin was found in combination with fentanyl in 61
percentoftheidentifications,whileU47700,alprazolam,ketamineandcocainewerefoundin
otherfentanylrelatedexhibitsinvaryingdegrees.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


SECTIONIV However, fentanyl can be handled safely
RecommendationsforFirst with proper training and equipment to
include hazard recognition and use of
Responders
personalprotectiveequipment(PPE).

Fentanylrelatedsubstancesaredesignedto
be absorbed into the body by all means, Policedogsarealsoatriskofserioushealth
including injection, oral ingestion, contact effects from exposure to fentanyl and
with mucous membranes, inhalation, and fentanylrelatedsubstances.
via transdermal transmission (through the
skin). As such, accidental exposure by first
respondersisarealdanger. PERSONALPROTECTIVEEQUIPMENT

accidental exposure by
first responders is a real
danger.

Accidental exposure can occur under a


number of circumstances, including during
the execution of search or arrest warrants,
thepurchaseoffentanylduringundercover
operations,theprocessingofdrugevidence
containing fentanyl or fentanylrelated
substances, or the processing of nondrug
evidence (e.g., drug proceeds, pill presses,
scales,ordrugparaphernalia)whichmaybe
contaminatedwiththesesubstances.

Due to the high potency of fentanyl and
fentanylrelated substances, exposure to
small quantities can cause serious negative
health effects, respiratory depression, and
evendeath.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


In situations involving gross fentanyl
contamination, where exposure risks are
high, Level A PPE (worn by specially
trained personnel) should be used to first
monitor and assess the environment prior
to proceeding. Level A PPE is routinely
usedbyDEAinsituationsinvolvingfentanyl
orsuspectedfentanylrelatedsubstances.

Personnel, equipment, and tactics can be


deployed, evaluated, and downgraded as
LevelASuits
appropriate dependingon the presumptive
identificationofthesubstanceand/orlevel
ofpotentialcontamination.


LevelBSuits

IndividualPPEKits

Example:
First responders who may encounter

fentanyl or fentanylrelated substances
Personnelareutilizing:
should maintain an individual (personal)

PPEkit,whichincludes:
LevelBPPEtoconductinitialbreach

LevelAPPEforonsiteassessment
Nitrilegloves
LevelCPPEforstandbyassistance
N95dustmasks

Sturdyeyeprotection
Papercoverallsshoecovers
NaloxoneInjector(s)

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


GeneralSafetyRecommendations Lawenforcementpersonnel,aswellasfirst
responders, should exercise appropriate
Due to the hazardous nature of the safety precautions at all times when
syntheticopioidsdescribedinthisoverview, fentanyl or fentanylrelated substances are
law enforcement personnel, or any first suspected.
responders, who encounter fentanyl or
fentanylrelated substances should NOT Ifthepresenceoffentanyloranysynthetic
take samples or otherwise disturb any opioid is suspected, personnel should
powdered substances without employing immediately contact the appropriate
properPPE,asthiscouldleadtoaccidental officialswithintheiragencywhohavebeen
exposure. trained to handle hazardous materials, or
contact the nearest DEA field office for
assistance. Having specially trained law
law enforcement enforcement (or hazardous materials
HAZMAT incident response team)
personnel, or any first
professionals equipped with the necessary
responders, who
equipment,toincludeLevelAPPE,onsite
encounter fentanyl or toassessthesituationpriortoexposureor
fentanylrelated contamination is recommended. This
substances should NOT includes situations involving unknown
take samples or otherwise powdered substances and/or pill milling or
disturb any powdered encapsulatingoperations.
substances without
When encountering unknown powders,
employing proper PPE
personnel should use, at the minimum,
Personal PPE to include nitrile gloves, N95
dustmask,eyeprotection,disposablepaper
suit, or paper coveralls, and shoe covers.
Further, it is possible that illicit fentanyl or Naloxone should also be readily available
fentanylrelatedsubstancescouldbemixed foradministration.
withotherdrugsorconcealedininnocuous
devices(suchasnasalsprayoreyedropper To limit the potential for exposure,
bottles) in varying amounts and purities, personnel should refrain from eating,
thuscausingunintentionalexposure. drinking, or smoking while in the presence
of any suspected fentanylrelated
substance.

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IncidentsofOverdoseandDeath After assessing the scene, should fentanyl
be suspected, onsite personnel should
First responders should always employ employ the above described safety
universal safety precautions and use, at a protocols referenced under General Safety
minimum,PersonalPPEwhentheyarriveat Recommendations as appropriate,
a scene where there has been a suspected depending on the potential level of
overdose incident, or suspected overdose contamination.
death.
First responders should also be mindful of
Assessment the potential Fentanyl Footprint in their
respective jurisdictions, which are clusters
Upon arrival, personnel should carefully ofoverdosesandoverdosedeathsoccurring
examine the environment and situation withinasmallgeographicarea,within4872
before proceeding in order to detect any hours. Based on incident reporting and
signsoffentanylcontamination. analysis, this could possibly indicate
fentanyl or fentanylrelated substances
Indicators beingpresent.

Personnel should look for any cyanosis RoutineActivity
(turning blue or bluish color) of victims,
includingtheskinorlips,asthiscouldbea Due to the current opioid crisis and
sign of fentanyl overdose caused by prevalenceoffentanylandfentanylrelated
respiratory arrest. Further, before substances on the domestic market, law
proceeding, personnel should examine the enforcementpersonnelandfirstresponders
scene for any loose powders (no matter shouldlookforanyfentanylindicatorssuch
howsmall),aswellasnasalspraybottles,as powders,pills,orcapsuleswhenconducting
thesecouldbesignsoffentanyluse. their respective activity such as motor
vehicle stops, or responding to calls for
Openedmailandshippingmaterialslocated service. If observed, personnel should
at the scene of an overdose with a return utilize, at a minimum, nitrile gloves, eye
address from China could also indicate the protection, and N95 dust mask (which
presence of fentanyl, as Chinabased shouldbepartoftheirPersonalPPEkit).
organizations may utilize conventional
and/or commercial means to ship fentanyl
and fentanylrelated substances to the
UnitedStates.

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DrugRelatedEvidenceCollection: recommended that Level A PPE be
utilized.
Do NOT attempt to collect or otherwise
disturb any suspected fentanyl, fentanyl If an exigent situation exists where drug
related substance, synthetic opioid or relatedmaterialmightbedisturbedand/or
unknown powdered substance without collectedinordertoprotectlife,personnel
employing proper PPE as this could cause should employ, at a minimum, the above
an unintentional exposure during the referenced Personal PPE to include nitrile
evidencecollectionprocess. gloves, an N95 dust mask, eye protection,
disposablepapersuitorpapercoveralls.
NOTE: Personal PPE should only be used
whenavalidurgentoremergencysituation
exists and/or the evidence is located in
small amounts which can easily be
contained and sealed without risk of
spillage. This PPE and collection method
however, should not be employed where
there is loose powder, liquid, and/or gross
contamination. Any situation involving a
largescale accidental spill or release of a
Due to the high risk potential associated fentanylrelatedsubstanceisapublichealth
with these substances, only law emergencywhichrequireslawenforcement
enforcement personnel employing the personnel to immediately vacate the area
properPPE(fromPersonalPPEtoLevelA andcallaHAZMATincidentresponseteam.
PPE) as referenced under General Safety
Recommendations should consider NonDrugRelatedEvidenceCollection
handling any substance suspected to
contain fentanyl or a fentanylrelated Itispossiblethatfentanylresiduecouldbe
substance. presentonitemsofnondrugevidencesuch
as currency, money counters, cellular
If feasible, personnel should contact the telephones, or drug paraphernalia which
appropriate officials within their agency could create an additional vulnerability to
whohavebeentrainedtohandlehazardous law enforcement. Thus, personnel should
materials, or contact the nearest DEA field alwaysfollowtheabovedescribeduniversal
office for assistance. For any situations safety precautions to avoid accidental
involving gross contamination, it is highly exposure.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


Anyitemsofnondrugevidencewhichhave
been identified at a location involving
suspected fentanyl should be treated with
the same care and caution as drug
evidence.Ifgrosscontaminationispresent
Level A PPE should be utilized by
personnel specially trained to assess and
handlethesematerials.



Once collected, properly packaged, and
removed from the scene, all items of non
drug evidence which have been
contaminated should be handled and
processed by personnel using, at a
minimum, Personal PPE in an area
specifically designated to process such

taintedevidencewithplentyoffreshairor
NOTE:Iffeasible,whileemployingLevelA whileemployingadedicatedfumehood.
PPE,safelyremoveanyexcessornoticeable
gross contamination from nondrug When packaging evidence which has
evidencepriortopackaging. potentially been contaminated, a notation
should be made on the outer evidence
packaging and evidentiary custody forms
that the item of nondrug evidence in
question has potentially been exposed to
fentanyl.







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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


PackagingofDrugEvidence Transportation (DOT) compliant, level 4G
(noncrush) fiberboard shipping boxes. For
Any suspected fentanyl or fentanylrelated added safety evidence exhibits could
substance should be processed per the instead be placed inside a reusable
above safety guidelines while employing Pelican style case which can be locked
theproperPPE. andcanmaintainanairtightseal.

Any suspected fentanylrelated exhibit SECTIONV
should be double bagged by placing the ExposureRisksandTreatment
exhibit within two agencyapproved
evidence envelopes. The inner envelope Duetotheirhazardousnature,fentanyland
could be a nonlabeled version, while the fentanylrelated substances pose a
outer evidence envelope should contain a significant threat to law enforcement
standard evidence label with the required personnel and to other first responders,
informationneededfordocumentationand including fire and emergency medical
tracking purposes per agency policy and personnel.
procedure.Bothevidenceenvelopesshould
beclearlymarkedSuspectedFentanyl. As matter of reference it has been
determined that it would only take 23
Theevidenceshouldbetransporteddirectly milligramsoffentanyltoinducerespiratory
to the requisite forensic laboratory, depression, arrest and possibly death (see
ensuring all evidence exhibits are clearly photo of penny). When visually compared,
markedasSuspectedFentanyl. 2 to 3 milligrams of fentanyl is about the
same as five to seven individual grains of
If suspected fentanyl or fentanylrelated tablesalt.
drugevidencemustbetransportedbackto
an agencys office prior to submission to a
laboratory, personnel should secure the
evidence in the agencys designated drug
vault and/or secure drug processing area,
notonworkdesks,inconferenceroomsor
otherpublicareas.

When transporting exhibits, evidence


should be placed in sturdy, crushproof
boxes such as a U.S. Department of

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


Fentanyl can be ingested orally, inhaled naloxone by personnel trained in its use.
through the nose or mouth, or absorbed Naloxone is an antidote for opioid
through the skin or eyes. Overdose overdose. Immediately administering
symptoms can include drowsiness, naloxonecanreverseanopioidoverdose.
disorientation, sedation, pinpoint pupils,
skin rash, clammy skin, and respiratory Dependingonthedrugspurityandpotency
depression or arrest. The onset of these multipledosesofnaloxonemayberequired
symptomsusuallyoccurswithinminutes. to stabilize the victim. Continue to
administer a dose of naloxone every 23
minutesuntiltheindividualisbreathingon
his/herownforatleast15minutes,oruntil
Overdose symptoms EMSarrives.
include drowsiness,
disorientation, sedation, As a best practice, it is recommended that
anyone who has entered a grossly
pinpoint pupils, skin rash,
contaminated environment, or otherwise
clammy skin, and
been exposed to a suspected fentanyl
respiratory depression or related laboratory or milling operation
arrest. withoutwearingproperPPEshouldundress
andshower,usingsoapandwater,assoon
aspossible.Itisrecommendedthatgrossly
contaminated clothing be bagged and
destroyedassoonaspossible.
If an exposure occurs, seek immediate
medical attention as fentanyl and other If a suspected fentanylrelated substance
fentanylrelated substances can be very hasbeeninhaled,movethevictimtofresh
fastacting.Incasesofsuspectedexposure, air.
contact emergency medical services (EMS),
or, if feasible, have EMS on scene prior to If a suspected fentanylrelated substance
conductingenforcementactivity. has been ingested through the mouth or
eyes and the victim is conscious, rinse the
Ifanexposureoccurs,removetheexposed victimseyesandmouthwithcoolwater.
individual from the contaminated
environment (preferably to a location with Where there has been any skin contact,
fresh air). If they exhibit overdose wash the exposed area immediately with
symptoms, immediately administer soapandwater.

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


NOTE: Any personnel exposed to a
suspected fentanyl substance as noted
above should be carefully monitored by
EMS personnel for any signs of opioid
exposure.

DoNOTusehandsanitizer.Handsanitizers
may contain alcohol, a skin penetrant,
which may increase the absorption of
fentanylthroughtheskin.

Do NOT use hand


sanitizer.


DEAsFentanylRollCallVideo SECTIONVI
FentanylDetection
DEA has released a Fentanyl Roll Call
video to all law enforcement and first DEA is evaluating detection devices to be
responders nationwide about the dangers usedinthefieldtestingofevidenceforthe
of improperly handling fentanyl and its presence of fentanyl and fentanylrelated
deadly consequences. Acting DEA substances.
Administrator Chuck Rosenberg and two
local police detectives from New Jersey Should your agency need assistance with
appear on the video to urge any law the examination or fieldtesting of
enforcement or first responders who come suspected fentanyl or a fentanylrelated
incontactwithfentanylorfentanylrelated substance, contact your nearest DEA field
substancestoobservepropersafehandling office or HAZMAT incident response team
procedurestoavoidexposure. forassistance.

DEAsRollCallvideocanbeaccessedat:



https://www.dea.gov/media.shtml

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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


SECTIONVII GeneralHygiene

RemediationandDecontamination To reduce the potential for accidental
Recommendations exposure, handle all items suspected of
being contaminated with fentanyl or
UniversalPrecautions fentanylrelated substances with extreme
caution, to include the application of
Duetothehazardousnatureoffentanyllaw universal safety precautions and, at a
enforcement personnel should notify any minimum, the Personal PPE mentioned
concerned parties of the fact that a above. Avoid skin contact, inhaling or
clandestine drug laboratory or pill milling ingesting powders, liquids, or sprays. Wash
site may pose a significant health hazard your hands frequently with copious
and prominently display the appropriate amountsofsoapandwater.
warning sign at the site following the
identification and/or seizure of a
clandestine laboratory or pill milling
operation involving fentanyl, fentanyl
relatedsubstances,orsyntheticopioids.

Thepropertyownershouldalsobenotified
of the situation via certified letter with
copiestolocalhealthofficialsandlocallaw
enforcement agencies. State/local public
health departments will ultimately
determine the appropriate remediation
actionandif/orwhenthelocationisfitfor

futureoccupancy.







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UNITED STATES DRUG ENFORCEMENT ADMINISTRATION


RESOURCES

www.dea.gov

www.deadiversion.usdoj.gov

www.cdc.gov

www.cdc.gov/drugoverdose/opioids/fentanyl.html

www.emergency.cdc.gov/han/han00384.asp

www.cdc.gov/niosh/

www.drugabuse.gov

www.drugabuse.gov/publications/drugfacts/fentanyl

www.drugabuse.gov/drugsabuse/fentanyl

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