Paramedic Describes Giving 8-10 Milligrams of Narcan During Opioid Crisis Peak
"We were giving them 8-10 milligrams of Narcan. And I mean, I mean, it had to be fentanyl. It, dude, I've never seen anything like this. You normally give somebody 0.5, fine, they wake up screaming."
About this episode
In this episode of The Checkup Podcast, Dr. Mike interviews Jason Patton, known as Fire Department Chronicles, the most followed firefighter in the world with over a million subscribers. Patton, a multi-year veteran firefighter and paramedic, revealed surprising realities about first responder work that contradict public perception. Most significantly, he disclosed that 85% of firefighter calls are medical emergencies rather than fires, attributing this to improved building codes and fire prevention. The conversation covered the grueling and expensive path to becoming a firefighter, including EMT school, paramedic training, and fire academy, often costing up to $25,000 with starting salaries as low as $37,000 annually. Patton shared that 70% of firefighters nationwide are unpaid volunteers. He revealed that modern fires are 200 times more toxic than 60 years ago due to polyester materials and lithium batteries, making smoke inhalation the primary killer rather than flames. The episode explored dramatic rescue scenarios, including Patton performing CPR on a plane for 35 minutes during a mid-flight cardiac arrest, his experience during Florida's opioid crisis requiring unprecedented Narcan doses, and bizarre cases like patients on the drug Flakka universally reporting being chased by wolves. Patton also discussed his viral social media success through green-screen videos where he inserts himself into firefighter TV shows to fact-check them, his comedy CPR training business, and his work with Fire Department Coffee. The conversation concluded with safety tips for home fires, the dangers of lithium-ion battery fires in electric vehicles, and Patton's future aspirations including potentially breaking a Guinness World Record for CPR training with Dr. Mike.
Key takeaways
- Patton revealed 85% of firefighter emergency calls are medical not fire-related due to improved building codes and fire prevention measures.
- Starting firefighter salary disclosed as only $37,000 annually despite requiring up to $25,000 in training costs and two years of schooling.
- Modern fires produce 200 times more toxic smoke than 60 years ago because of polyester materials and lithium-ion batteries in homes.
- During Florida's opioid epidemic peak Patton administered 8-10 milligrams of Narcan to overdose victims compared to normal 0.5 milligram doses.
- Every patient Patton treated on street drug Flakka reported identical hallucinations of being chased by wolves despite no wolves in Florida.
- Patton performed 35 minutes of CPR during mid-flight cardiac arrest on plane while pilot broke FAA regulations to land quickly.
- Seventy percent of firefighters nationwide work as unpaid volunteers with some paid only $15-20 per emergency call.