Street Drugs-Huff and Puff

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They'll huff and puff and....
Shore EMS Conference2010

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  • Street Drugs-Huff and Puff

    1. 1. GOOD MORNING David B. Aber, NREMT-P, I/C
    2. 2. They’ll Huff and Puff and….. What they’re using today
    3. 3. TIME TO WAKE UP
    4. 4. *Get out on time *Learn something *Get High-Legally of course
    5. 5. TOPICS Energy Drinks Huffing Salvia GHB Prescription abuse and Combinations
    6. 6. Energy Drinks Red Bull, Monster, Octane, Rock Star, and others added daily A Soda on “Crack” 25-40 mg Caffeine vs up to 280 mg Caffeine SUGARRRR Effects on heart rate and blood pressure 6
    7. 7. Energy Drinks Cases of exercise induced cardiac arrest with contributing use of energy drinks. Dehydration Caffeine + Exercise = increased diuresis RedBull and Vodka= why some of you feel hung over!!!! 7
    8. 8. Energy Drinks Ephedrine - A stimulant that works on the central nervous system. It is a common ingredient in weight-loss products and decongestants, but there have been concerns about its effects on the heart. • Taurine - A natural amino acid produced by the body that helps regulate heart beat and muscle contractions. Many health experts aren't sure what effect it has as a drink additive (and the rumor that taurine comes from bull testicles is false). • Ginseng - A root believed by some to have several medicinal properties, including reducing stress and boosting energy levels. • B-vitamins - A group of vitamins that can convert sugar to energy and improve muscle tone. • Guarana seed - A stimulant that comes from a small shrub native to Venezuela and Brazil. • Carnitine - An amino acid that plays a role in fatty acid metabolism. • Creatine - An organic acid that helps supply energy for muscle contractions. • Inositol - A member of the vitamin B complex (not a vitamin itself, because the human body can synthesize it) that helps relay messages within cells in the body. • Ginkgo biloba - Made from the seeds of the ginkgo biloba tree, thought to enhance memory. 8
    9. 9. HUFFING
    10. 10. Huffing Background Breathable chemical vapors that cause a mind altering effect on the user. Usually pressurized containers. Can be Non-Solvent Street Names Poppers, Snappers, Bang, Hippie Crack, Head Cleaner, Rush, Poor Man’s Pot, Bagging
    11. 11. Huffing Types of Huffing Materials Volatile Solvents Liquids that vaporize at room temperatures Paint thinner, gasoline, White-out™, Glue (Rubber Cement™) Aerosols Sprays containing propellants and solvents Spray paint, Deodorant, Fabric Protector Silver and Gold spray paints are most popular
    12. 12. Huffing Types of Huffing Materials (cont.) Gases Substances that lack definite shape or volume. Butane, Air conditioner Refrigerants, Dust Off™ Medical gasses Chloroform, Nitrous Oxide (laughing gas) Whippets Nitrates Amyl Nitrate and Butyl Nitrate Sexual enhancement Found in adult books stores
    13. 13. Huffing So who uses this stuff? ANYONE!!! Over 1,000,000 reported uses 12-17 year olds most common 4th most abused substance for high school age
    14. 14. HUFFING Suffocation, inhaling fluid or vomit into the lungs, and accidents each cause about 15% of deaths linked to inhalant abuse.  Approximately 8.9% of youth ages 12—17 have misused inhalants.  55% of deaths linked to inhalant abuse are caused by “Sudden Sniffing Death Syndrome.” SSDS can occur on the first use or any use. 
    15. 15. HUFFING 22% of inhalant abusers who died of SSDS had no history of previous inhalant abuse. In other words, they were first-time users. 
    16. 16. Huffing Sudden Sniffing Death Syndrome (SSDS) Usually associated with aerosols and gasses Causes Heart Failure and eventually death Can occur first time use Occurs when startled or surprised. Surge of Epinephrine Increased Heart Rate and Blood Pressure Inhalant use makes myocardium more sensitive
    17. 17. Huffing Put your thinking hat on…….. ! What commonly prescribed medication for young adults could make this syndrome occur more often?
    18. 18. Huffing Put your thinking hat on…….. What commonly prescribed medication for young adults could make this syndrome occur more often... RITALIN—BUT WHY???
    19. 19. Huffing Put your thinking hat on…….. What commonly prescribed medication for young adults could make this syndrome occur more often... RITALIN—BUT WHY??? Ritalin has a sympathomimetic effect…Big word for adrenaline. Adrenaline = Epinephrine
    20. 20. Huffing—Video
    21. 21. Huffing—Video
    22. 22. Huffing What EMS needs to know……………. Patient Presentation Similar to intoxication Drowsiness Lightheadedness Loss of inhibitions Long Term Exposure Hallucinations D E LAWA RE Belligerence Blue Hens
    23. 23. Huffing What we are going to treat No rapid fix Oxygen, Oxygen, Oxygen Airway support Be aware of residual substances Patient Safety Bring substance if safe Decontamination Off gassing
    24. 24. Huffing INHALET EXAMPLE EFFECTS Toluene Spray paint Hearing loss Glue Damage to spinal cord or De-waxer/floor stripper brain Fingernail polish Liver and kidney damage Trichloroethylene Cleaning fluid Hearing loss Correction fluid Liver and kidney damage Hexane Glue Limb spasms Gasoline Blackouts Nitrous Oxide Whipped cream dispensers Limb spasms Gas cylinders Blackouts Benzene Gasoline Bone marrow damage
    25. 25. SALVIA The most controversial one we will be talking about
    26. 26. Salvia Divinorum “Salvia” Used in Mexico as a medicinal herb during ritual healing.
    27. 27. Salvia Effects last usually less than 5 minutes EMS may only gets reports of behavior Comes in various strengths 1x up to 100x Smoked, chewed, and brewed Street Names Deviner’s Sage, Sally-D, Magic Mint
    28. 28. Salvia Signs and symptoms Bright lights, vivid colors and shapes, as well as, body movements and body or object distortions. Other effects include uncontrolled laughter, a sense of loss of body, overlapping realities, and hallucinations
    29. 29. Salvia--Effects Feelings of calmness: 42.2% Weird thoughts: 36.4% Things seeming unreal: 32.4% Floating feelings: 32% Mind racing: 23.2% Feeling lightheaded: 22.2% (Baggott, et al) from the University of California Berkeley and California Pacific Medical Center Research Institute conducted a survey of 500 salvia users
    30. 30. SALVIA VIDEO 29
    31. 31. SALVIA—TRIP VIDEO
    32. 32. SALVIA—TRIP VIDEO
    33. 33. Salvia Brett’s Law Originated in Delaware Brett Chidester Committed Suicide @ 17yrs. Note stated that a"er using Salvia he found life was not worth living
    34. 34. Honor Roll Student National honor society Honors band
    35. 35. Honor Roll Student National honor society Honors band
    36. 36. drug tests negative
    37. 37. drug tests negative police found salvia after death
    38. 38. drug tests negative police found salvia after death 7-10 notes about salvia
    39. 39. drug tests negative police found salvia after death 7-10 notes about salvia 3 page suicide note
    40. 40. drug tests negative police found salvia after death 7-10 notes about salvia 3 page suicide note
    41. 41. Salvia-CNN Report
    42. 42. Salvia Delaware, Florida, Illinois, Kansas, Mississippi, Missouri, North Dakota, South Dakota,Ohio,Oklahoma, Virginia and others have passed their own laws. Schedule 1 Alabama, Alaska, California Florida, Iowa, Michigan, New Jersey, New York, Ohio, Oregon, Pennsylvania, California and Texas have proposed legislation.
    43. 43. Salvia Who’s using it……………. 2008 1.8 million (est.) individuals 12 and older have used it 750,000 within the past year Most common age was 18-25 National Survey on Drug Use and Health Report published by SAMHSA in February 2008
    44. 44. Salvia EMS Intervention Protection Possible other AMS causes Calm quiet transport
    45. 45. WHO’S READY TO GET HIGH
    46. 46. Time to feel what they feel!!! WARNING: Avoid prolonged staring if you are prone to seizures or motion sickness
    47. 47. Ketamine Ever heard of it?
    48. 48. Ketamine Ever heard of it?
    49. 49. Ketamine K Special K Vitamin K Bump Cat Valium Raver’s Smack
    50. 50. Ketamine Now used more often then Cocaine in the UK. The trip — also called K-hole — that results from ketamine usually lasts up to 2 hours.
    51. 51. KETAMINE •Users may become nauseated or vomit, become delirious, and have problems with thinking or memory. •At higher doses, ketamine causes movement problems, body numbness, and slowed breathing.
    52. 52. Date Rape Drugs Rohypnol Roofies, roach, forget-me pill Anti-anxiety medication 10x Valium Memory loss, Hypotension, Nausea, and Drowsiness, Loss of inhibitions
    53. 53. Date Rape Drugs GHB Gamma-Hydroxybutyric Acid Naturally occurring in the body Once used legally by bodybuilders Still used in hospital as a sedative Mixed with alcohol as a liquid Patients may complain of a salty taste that was in the drink Airway management it top concern
    54. 54. Date Rape Drugs GHB Gamma-Hydroxybutyric Acid Naturally occurring in the body Once used legally by bodybuilders Still used in hospital as a sedative Mixed with alcohol as a liquid Patients may complain of a salty taste that was in the drink Airway management it top concern
    55. 55. Date Rape Drugs GHB Gamma-Hydroxybutyric Acid Naturally occurring in the body Once used legally by bodybuilders Still used in hospital as a sedative Mixed with alcohol as a liquid Patients may complain of a salty taste that was in the drink Airway management it top concern
    56. 56. Pain Medications Between 2006 and 2007 Cocaine use decreased 23 percent. Prescription medication abuse increased 12 percent 2007 Substance Abuse and Mental Health Services Administration (SAMHSA). Over 15 million Americans Most common is OxyContin™
    57. 57. Polypharm Heroin laced with Fentanyl WHAT’S THE PROBLEM? 2005-2006 = Over 1,000 Deaths WET CHIP BUDDA Many “pill popper” patients are on anti- depressants Side effect of anti depressants?
    58. 58. Thank you!!!!! Enjoy the rest of your conference Contact info--302-737-4044 or www.see4life.com

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