'A small Band-Aid on a big cut': Vancouver firefighters race to revive fentanyl addicts

"This is our 10th time doing this today, daily routine for us," says Vancouver firefighter Jason Lynch.

He's not talking about knocking down a fire or even rescuing a cat stuck in a tree.

Instead, he's once again kneeled down trying to revive a drug addict. This one isn't responding to two dosesofopioid antidotenaloxone, which goes by the tradename Narcan.

Oxygen, pain stimulation (like a knuckle in the rib) and shots ofNarcanare the first steps to try to revive a drug user, say the first responders who work out of Vancouver's fire hall No. 2, one of the busiest in Canada.

But none of those things are working on this man.

"You guys are like the pros now," says a paramedic who arrives on the scene.

"We are," Lynch responds.

They rarely put out fires anymore, or even ride in the fire trucks.

First responders seeing more fentanyl overdoses

8 years ago

Duration 5:36

B.C. Paramedics and firefighters are repeatedly reviving drug addicts who overdose on bootleg fentanyl

They are usually first on the scene, in an SUV, responding to medical calls after someone passes out on the street in the city's Downtown Eastside.

"There it is. Nice work," says Lynch as the man comes back to life after repeated shots of Narcan. It blocks the effect of opioids like fentanyl, the deadly drug that's caused a public health emergency in B.C. andthreatens to do the same elsewhereacross the country.

This is an especially busy day, the firefighters explain, because it's when people line up to get their monthly welfare checks.

It's very difficult to see humans in that kind of trauma and situation.- Jason Lynch, Vancouver firefighter

"Welcome to Welfare Wednesday in Vancouver," says firefighter Ryan McConnell, who explains that with all that cash on the street,fentanyldealers and first responders are both in very high demand.

Overdose deaths from a bootleg version of fentanylsmuggled from Asiaare expected to skyrocket across Canada this year.

According to statistics from provincial coroners, opioid overdoses now killmore Canadians than car crashes.

Approximately two people die every day in B.C. from accidentaloverdoses, and 62 per cent of those cases are linked to fentanyl.

A task force is working on the problem, but it's the front-line paramedics and firefighters who see the devastation of bootlegfentanylup close. Thepowerful painkiller is said to be up to 100 times more potent than morphine or heroin.

• 'It's going to take you,' warns B.C. man who lost brother and girlfriend tofentanyloverdoses

"It's very difficult to see humans in that kind of trauma and situation. You're walking into an alley that's got a lot of different smells in it needles, rats, garbage everywhere," says Lynch, who's been a firefighter for three years.

Firefighter Jason Lynch responds to as many as 40 overdoses a day

8 years ago

Duration 0:39

"Its very difficult to see humans in that kind of trauma."

"You just walk by lines of different people shooting up and thenyou treatthe third one on the left, and it's just a matter of time before the first two go down as well.

"We are putting a small Band-Aid on a big cut."

By the time they reach their next patient, in a tent city, another addict has already revived her with Narcan.

FreeNarcankits are distributed to any addict who wants one.

"You gave her four shots ofNarcan?" Lynch asks.

"Yes," a man in a neighbouring tent responds.

The young woman is oblivious to her soiled shorts and the thick smell of human waste.

They convince her to go to hospital before theNarcanwears off and she passes out again.

"We need to walk you out to the ambulance," Lynch tells her. "You don't have a choice. You are just going to OD as soon as it wears off."

Lynch tells CBC how he had to revive a 24-year-old girl twice in the same month.

"It wears on you, on your soul."

Their next patient is a clean-cut, middle-aged man lying on the floor at a homeless shelter.

A staffer has already given him one shot of Narcan, but it didn't work.

"He had takenfentanyland was told it was really strongfentanyland a lot of people were overdosing," says Lynch, who believes the man was wise to get himself to a Lookout Society shelter before he passed out alone on the street.

Lookout Society, which operates several shelters in Greater Vancouver, decided two years ago to train its staff to handle overdose cases and to keep a supply ofNarcan.

Lynch and his team also try to wake him up with pain stimulation a sternum rub, a knuckle in the rib cage, a trap-squeeze rub of a fingernail.

Still nothing.

Lynch is very concerned a potent batch of fentanyl has hit the streets.

Finally, after 10minutes and four rounds of Narcan, the man grunts back to life.

"You overdosed you got to stay up, stay awake man, keep those eyes open," Lynch tells the patient as he's loaded into an ambulance.

"I'm not joking, you took atonneof Narcan," a nurse says.

Staff at shelters and clinics are the unsung heroes in the fight against fentanyldeaths.

Lookout Society shelter staff have had to administer Narcan 240 times so far this year.

"Each one of those are life-saving interactions that our staff have quite bravely been a part of," executive director Shane Williams tells CBC.

Narcan is available without a prescription. Community workers, and even drug users themselves, have helped save lives by giving that crucial first dose quickly afteranoverdose.

"Those are theNarcanwarriors, that have just continued to keep people alive long enough in the hopes that they are going to make better choices in the future," says Williams.

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