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 ID: 653383
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Slide1
Rocky Mountain High: New Trends in Drugs of Abuse
Curtis Sandy, MD FACEP FAEMS
EMS Director
Portneuf Medical CenterSlide2
Objectives
Identify and discuss new drugs of abuse
Explain treatment options for drug overdoses
Identify challenges in treatment Slide3
Ice, Ice, Baby
“
tweeking
”
Skin picking
SxsAgitation to unconsciousTxSupportiveBenzoSlide4
Horse of a different color?
Spice/K2
Synthetic
Cannabinoid
Delivery matrix
Plant materialliquidUnpredictable May be similar to narcoticMay be similar to meth
Unknown laced compoundsSlide5
Spice/K2
Treatment
Supportive
Benzos
for agitation
Try narcan for respiratory depression/lethargySlide6
U-47700
Synthetic
Opioid
Marketed as research chemical
Many times more potent than morphine
Sxs - respiratory depression and AMSTx – SupportiveNarcan in abundanceSlide7
Elephant Gun
Carfentanyl
(2002 Nord-
Ost
Seige)10,000 more potent than morphineAnimal tranquilizerMay be added to heroin or other drugsSxsRespiratory depressionTx
Airway management
Narcan
in large amounts (20 mg)Slide8
Counterfeit Pills
Rx drug abuse
Any Substance
Fentanyl
laced
Gray DeathSxsRespiratory DepressionTxSupportive
NarcanSlide9
Summary
New drugs, similar results
More and more resistant to standard therapy
Unknown substance
Treatment continues to be ABCs