EMS - Street Drug Review 2008 1 hour

Street Drug Review 2008 West Valley Hospital May, 2008

Why am I talking to you today?

Who am I? ,[object Object],[object Object],[object Object],[object Object]

Rescources ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Question: Do we have Raves here??? Then why do we have Rave drugs?

Clues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Some risk taking behavior you probably haven't heard of…

Eye Candy ,[object Object],[object Object]

AIRWAY PROBLEM??? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Why Face Masks & Vicks? ,[object Object],[object Object]

It’s About Sensation Vibration of the music through the balloon feels good too.

Other testing ,[object Object],[object Object]

What are we talking about here? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

So why do people overdose? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methods of use: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Heroin ,[object Object],[object Object],[object Object],[object Object],[object Object]

Oxycontin / MS Contin ,[object Object],[object Object],[object Object],[object Object]

Methadone ,[object Object],[object Object],[object Object],[object Object]

Duragesic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Duragesic- methods of abuse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Opioid Toxidrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],KEY POINT: Miosis and Hypotension are not definitive for ruling in or ruling out a opioid overdose.

BASIC TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Smaller doses of Narcan? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Release Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Some weird things that have been done with a Opioid ODs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PMA and MDMA ,[object Object],[object Object],[object Object]

What is does… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Amphetamine Hallucinogenic

MDMA/PMA how It Looks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Euros”

MDMA/PMA Packaging ,[object Object]

Patho-Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MDMA Toxidrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MDMA/PMA Toxicity Major S/S ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MDMA/PMA Basic Tx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MDMA Focused Tx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Take Home Information ,[object Object],[object Object],[object Object],[object Object],[object Object]

DXM- Introduction ,[object Object],[object Object],[object Object],[object Object]

DXM- How is it used? ,[object Object],[object Object],[object Object],[object Object]

DXM- “Coricidin Toxicity” ,[object Object],[object Object],[object Object]

DXM- Coricidin Toxicity ,[object Object],[object Object],[object Object],[object Object],[object Object]

DXM- Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DXM- What does this mean to me? ,[object Object],[object Object],[object Object],[object Object]

GHB Analogs- Introduction ,[object Object],[object Object],[object Object],[object Object]

Recognizing GHB ,[object Object]

GHB analogs – How are they used? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Efforts to Avoid Detection ,[object Object],[object Object],[object Object]

Typical Drinks To Hide GHB Any Substance can be used to hide a GHB Analog!

Efforts to Avoid Detection ,[object Object]

GHB- No longer Just for Rapists ,[object Object],[object Object],[object Object],[object Object]

GHB analogs - What does it do ,[object Object],[object Object]

GHB analogs toxicity- mild ,[object Object],[object Object],[object Object],[object Object]

GHB analogs Toxicity- Severe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GHB analogs-Treatment ,[object Object],[object Object],[object Object]

GHB analogs-Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Billy Idol: Famous GHB’er Billy almost died in 1993 from (then legal) GHB in front of a L.A. Night club

Difficulty in Prosecution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GHB analogs- What does this mean to me? ,[object Object],[object Object],[object Object]

GHB- Take Home Information ,[object Object],[object Object],[object Object],[object Object]

In closing ,[object Object],[object Object],[object Object],[object Object],[object Object]

EMS - Street Drug Review 2008 1 hour

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EMS - Street Drug Review 2008 1 hour