Fentanyl has made the probability of adverse events in jails even more likely. With fentanyl, withdrawal treatment is more complicated and changes such as ECG findings of prolonged QT/QTc (not described in the literature) may occur. Withdrawal screening, monitoring, treatment, and toxicologic data will be presented. The session will include case studies and strategies to counter fentanyl's challenges.

• Describe epidemiologic trends in fentanyl usage, risk, and environmental factors
• Differentiate the pharmacologic and physiologic actions of fentanyl versus other opiates
• Identify fentanyl use assessment, monitoring, and treatment for improved outcomes

Level: Intermediate