Rocky Mountain High: New Trends in Drugs of Abuse

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Presentation transcript:

Rocky Mountain High: New Trends in Drugs of Abuse Curtis Sandy, MD FACEP FAEMS EMS Director Portneuf Medical Center

Objectives Identify and discuss new drugs of abuse Explain treatment options for drug overdoses Identify challenges in treatment

Ice, Ice, Baby “tweeking” Skin picking Sxs Tx Agitation to unconscious Supportive Benzo

Horse of a different color? Spice/K2 Synthetic Cannabinoid Delivery matrix Plant material liquid Unpredictable May be similar to narcotic May be similar to meth Unknown laced compounds

Spice/K2 Treatment Supportive Benzos for agitation Try narcan for respiratory depression/lethargy

U-47700 Synthetic Opioid Sxs - respiratory depression and AMS Marketed as research chemical Many times more potent than morphine Sxs - respiratory depression and AMS Tx – Supportive Narcan in abundance

Elephant Gun Carfentanyl (2002 Nord-Ost Seige) Sxs Tx 10,000 more potent than morphine Animal tranquilizer May be added to heroin or other drugs Sxs Respiratory depression Tx Airway management Narcan in large amounts (20 mg)

Counterfeit Pills Rx drug abuse Sxs Tx Any Substance Fentanyl laced Gray Death Sxs Respiratory Depression Tx Supportive Narcan

Summary New drugs, similar results More and more resistant to standard therapy Unknown substance Treatment continues to be ABCs

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