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As fentanyl epidemic sweeps through New Mexico, firefighters grapple with emergency responses

A ride-along with Albuquerque Fire Rescue shows how crews manage frequent overdoses amid a fentanyl crisis

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The call came in as "23-Delta," a medical emergency requiring a high-priority response, prompting the Albuquerque Fire Rescue team working in the city’s International District to turn on their lights and sirens and head out on a hot summer day.

A man appeared to be overdosing in a parking lot near the KFC at Louisiana and Central. He had an injury to his head, and firefighters quickly checked his pupils and did a body scan.

A woman nearby, who appeared dazed and possibly under the influence herself, walked away as first responders tended to the man. Another man took the woman’s spot, using the shade of a dumpster to escape the harsh sunlight.

An ambulance arrived and loaded the man into the vehicle, but he eventually stepped out, said he did not need help, and walked away.

An hour later, firefighters responded to the same location. The man who had rested near the dumpster was dead.

Police officers arrived shortly after to identify and take custody of the man’s body. A white cloth now covered his face.

An autopsy will reveal the cause of death, but firefighters theorized that he overdosed and choked to death on his vomit. A witness said she saw the first man that firefighters had helped attempting to resuscitate him.

Firefighters with Station 5 returned to their home base to await the next call, which wouldn't take long.

The Journal joined AFR for a ride-along on Aug. 18, a Tuesday afternoon, to learn how first responders provide treatment in overdose situations and what changes they have observed while giving aid to people as New Mexico grapples with a substance abuse epidemic. 

‘It was like every other call was an overdose’

AFR’s Station 5, at 123 Dallas NE, is the busiest in Albuquerque and the 15th busiest in the nation, according to a 2024 Firehouse Run . It covers about 5 square miles of the city — a relatively small area for a station. Station 18 in Northwest Albuquerque covers the largest area, 37 square miles.

But Station 5 covers a densely populated area where firefighters respond to overdose calls at a much higher rate.

Albuquerque Fire Rescue firefighters and paramedics respond to an overdose in Albuquerque’s International District on Aug. 18.

It was a hot summer day with no clouds in sight as temperatures reached a high of 95 degrees. Another call came in, and firefighters dashed out of the station and into the parking lot of a McDonald’s near Wyoming and Central.

Two men, one of whom was unresponsive, were overdosing. AFR immediately administered Narcan to one of the men, who continuously yawned and nodded off.

“I’m not a cop, man, you can tell me what you did,” said Kyle Frederickson as he and Derik Chavez, both with AFR, began to check the man’s vitals and glucose levels. “Was it blues (fentanyl) or meth? I’m here to help you.”

Frederickson and Chavez spoke softly to the man and had a defibrillator ready as they urged him to respond.

The man mumbled that he had done fentanyl. He did not say how much.

Firefighters cannot force a person to accept hospital services, though the person does have to prove that they are alert enough to refuse services or transportation.

The man sat down as an ambulance arrived. He eventually declined services and walked away. AFR had deemed him stable enough to forgo further treatment.

The other man was placed onto a gurney and taken to a hospital as a crowd of unhoused people gathered to watch.

The firefighters remained unfazed, even as the crowd began to yell at nearby police officers.

Albuquerque Fire Rescue firefighters and paramedics respond to an overdose in Albuquerque’s International District on Aug. 18.

A few minutes after the situation was cleared, another call came in just down the street.

Albuquerque Fire Rescue responded to more than 80,000 emergency medical service calls in 2025. Over 80% of those calls are for emergency medical services. The situations for those calls vary, but almost every day firefighters can expect a call about a person overdosing.

The average is four, according to first responders. It can often be more.

“Last week, it was like every other call was an overdose,” one firefighter from Station 5 said. “I don’t know if it’s just bad batches of fentanyl or if they were stronger, but every call was just overdose, overdose, overdose.”

AFR responded to 2,998 overdoses between August 2025 and July 2026, according to a naloxone administration and overdose trend report from the department.

Naloxone, also known as Narcan, is a medication that can reverse or reduce the effects of opioids. Firefighters said the administration of Narcan is almost always the first step when responding to an overdose call due to the increasing prevalence of opioids.

“We know that we’re going to show up, give them Narcan and they’re going to wake up,” said Station 12 Captain, C-Shift, Daniel Murphy. “Everybody has Narcan now, which is great because we’re saving lives, but it’s become routine for everyone to think, ‘Oh, someone will just give me Narcan.’

A firefighter holds a used Naloxone hydrochloride injection after administering it to a man overdosing in the parking lot of KFC on Louisiana and Central Avenue in Southeast Albuquerque on Aug. 18.

“Where we are at as a society is pretty wild to me. There’s not much else we can do, but there’s got to be some way that we can convince people to take treatment.”

An AFR report shows that December had the lowest rate of naloxone administrations, with 86 canisters administered. An observation column in the report stated that number was “low.”

The following month there was an uptick that has continued. There were 136 canisters administered in July.

AFR administered 1,350 doses of Narcan from August 2025 through July, according to the overdose report.

Narcan, however, isn't always effective. It has a shorter half-life than opioids, meaning the drug could still be in a person's system as their body is digesting it, and the person could still die from an overdose once the medicine wears off.

There are no patterns when it comes to people who overdose. The demographics, ages and identities all mingle and intertwine, according to AFR officials.

Another call 

Another call has come in. Bystanders have gathered around an unconscious man on a sidewalk. Three Narcan packets were discarded next to him.

It’s become more common for bystanders to administer Narcan to people on the streets, oftentimes giving someone a dose or two and leaving. Multiple firefighters said it has likely saved countless people who would have otherwise died.

Firefighters walk past three Narcan packets that bystanders administered to a man overdosing before Albuquerque Fire Rescue first responders arrived on scene in Albuquerque’s International District on Aug. 18.

“They’ve been handing out Narcan to everybody on the street, which I think has helped a lot,” said Jace Dubick, who works at AFR Station 12 in the Northeast Heights. “They’ll see someone overdosing and give the person Narcan themselves.

“They don’t even call 911, or sometimes they will and we get there and there’s no patient because they walked away.”

Firefighters walked the man to a gurney as he faded in and out of consciousness, sweat dripping down his face. He became combative and shoved first responders away, insisting that he did not need help as he unbuckled himself from the gurney. He stormed away moments later.

First responders said that it’s common for a person to become aggressive when they are being treated for an overdose.

As New Mexico continues to grapple with an opioid crisis, firefighters said they’re expecting to continue responding to overdose call after overdose call and do the best they can. It’s finding a cure for the root cause of the epidemic that has proven difficult.

Nakayla McClelland covers crime and breaking news. Reach her at nmcclelland@abqjournal.com or at 505-823-3857.