About 6 weeks ago we had 2 males come in for the same exact thing about 15 min apart. The one's mother brought him in, not responding, got him in, went to intubate and all these fun little patches stuck to the laryngoscope! Not certain if those were mixed with any heroin. He lived that episode and another shift got called to his residence no more than 3 days later, dead on the sofa, with...you guessed it, patches in his mouth.
Second fella I don't remember exactly, pretty sure he was talking and what not, but had patches in his mouth. He lived.
We flew a guy out, young man, about 16-18. Meth OD, he got a Narcan drip, which depleted our entire hospital Narcan supply....not sure if he died or not.