Published June 1, 2012 (current as of November 1, 2021)
A grieving mother recently contacted us about the death of her 2-year-old son, Blake (see photo), from an accidental drug overdose. Her son was not ill, taking medicine, or hospitalized. Instead, the tragic event began, of all places, at a nursing home.
Last November, the family was visiting the boy’s great-grandmother at the nursing home. Two days after the visit, Blake was found unconscious. Emergency medical personnel were unable to revive him. A medical examiner later found a small, white piece of what appeared to be tape in the boy’s throat. Tests came back showing that Blake had a high level of fentanyl, a powerful pain medicine, in his system. The "tape" turned out to be a fentanyl patch.
After speaking with the boy’s parents, authorities visited the nursing home where the boy had been days earlier. Authorities found that medicine patches were not being discarded properly. A used fentanyl patch was found on a bedside table. Blake’s mother also stated that patches had been discarded in the trashcan in the great-grandmother’s room. Authorities also found used medicine patches in other resident’s rooms on the floor and stuck to bed railings.
Authorities believe that Blake may have run over a used fentanyl patch on the floor of his great-grandmother’s room while playing with his toy truck: perhaps the patch stuck to the wheels of the toy. Later, he may have peeled off the patch and put it in his mouth. From there, fentanyl began absorbing into his body. The patch then became stuck in his throat. A used fentanyl patch can still contain a large amount of unabsorbed medicine. So, both new and used patches can be dangerous to children (and pets).
Other children have been accidentally exposed to patches in a similar manner. A 4-year-old boy died after placing a fentanyl patch on his body. His mother had been using these patches for pain from Crohn’s disease, a digestive tract disorder. After she found her son dead, she also found a torn fentanyl wrapper in an overturned bedroom trashcan. Children have also been exposed to dangerous medicine patches that fell off a family member. In one case, the child sat on the fallen patch and it stuck to her upper thigh. Another child removed a patch while his grandmother was sleeping and applied it to himself. In these cases, the patches were noticed right away and the children were not injured.
In April 2012, the US Food and Drug Administration (FDA) alerted the public to the potential for life-threatening harm from accidental exposure to fentanyl patches. FDA reported that 26 children have been accidentally exposed to fentanyl patches during the past 15 years. Ten children died, and 12 were hospitalized. Sixteen cases involved children 2 years old or younger.
Blake’s mother asked us to share information about how to properly use, store, and dispose of fentanyl patches, which can be found below. She also asked us to emphasize that parents need to be aware of possible hazards when they visit a healthcare facility with their child. She warns, “You can’t count on people not making mistakes like dropping pills or forgetting patches on a bed rail. Parents should keep a close eye on their kids when visiting someone where any medicine is used.” Regulatory agencies should also require safe drug disposal in all healthcare facilities.
