10-14-14 ems.ppt - inhs health training · pdf file10/10/2014 7 “party drugs”...
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10/10/2014
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Spokane County EMS
Recreational Drugs
By:
Greg Vandenberg, Spokane Police
Most commonly encountered drugs in Spokane
• Cocaine
• Heroin
• Marijuana
• Methamphetamine
• Prescription drugs
• Designer Drugs
Drug Prices
Marijuana 1/8th ounce $40ounce $250pound $2500-$3000
Meth 1/8th ounce $180ounce $1100
Cocaine 1/8th ounce $180ounce $1100kilogram $24,000
Heroin gram $70piece $800 (25 grams)
Pink Meth and White Meth Crystal Meth
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Yes………These are sold in Spokane.
One Pot Method
All ingredients at same time….pressure builds…explosions happen.
“Bath Salts”
• MPDV aka: Methylenedioxypyrovalerone
• 4-Methylmethcathinone
• Off white powder
• Active constituent of Khat
• Structurally similar to amphetamine
• Effects of methamphetamine use combined with psychedelic reaction
• Sold under several names and uses (bath salts, plant food, pond scum remover)
MDPV “Natural” Cathinones
• Khat is a plant which is chewed or made into tea
• Khat originated in Ethiopia
• Causes release of dopamine- mild euphoria, talkative, unrealistic, emotionally unstable, constipation, anorectic, manic behaviors, hallucinations
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Khat “Synthetic” Cathinones
• MDPV
• 4-Methylmethcathinone Mephedrone (4MMC)
• Methylone
• Mephedrone- aka “meow meow” “MCAT”- effect similar to XTC, cocaine, methamphetamine
Heroin
Pure heroin is a white powder – Rarely available on the street
Black Tar Heroin-made in Mexico- Western US– Smells like vinegar
– About 27% “pure” compared with 46% South AmericanDerived from the Opium plant
– Most powerful of the opiatesCommon forms of ingestion
– Injected
– Snorted
– Smoked
Tar Herion ¼ gram
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Synthetic Cannabinoids
• Often referred to as “Spice”
• Man made chemical analogs which are similar in structure to THC
• Many analogs are result of medical research
• John W. Huffman (Clemson Univ) created over 400..identified as JWH-018,JWH-022,ect.
• Pfizer gave us CP 47,497 & CP 55,490
• Many others..AM2201, HU 210,ect.
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Synthetic Cannabinoids
“Botanical Material”
Prescription Drugs
• Hydrocodone- $3 to $5 per pill
• OxyContin (oxycondone)- $1.50 per mg.
• Methadone $20-$40 per disk
• Morphine, Clonazepam, Valium, Darvocet, Demerol, Diludid, Lorcet, Lortab, Percodan, Percocet, …ect, ect.
Three General Classifications
• Depressants– Rohypnol
• Stimulants– Methylphenidate (Ritalin)
• Narcotics– Hydrocodone
– Oxycodone (OxyContin)
– Morphine
– Fentanyl
Depressants
• Rohypnol
Depressants
• Clonazepam – Klonopin
• Alprazolam – Xanax
• Diazopam– Valium
Depressants
Rohypnol (flunitrazepam hydrocloride)
• Sedative 10 times stronger than valium
• Preoperative sedative
• Legal in over 70 countries but not U.S.
• Both tablet and injectable forms
• The “Date Rape” drug
• Being replaced by clonazepam and andalprazolam (Xanex) and GHB
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Stimulants
• Ritalin (methylphenidate) and Adderall (dextroamphetamine) are two types
Narcotics
• Methadone/Methadose
• OxyContin– Oxycodone HCl
Smoking a “Bean” Narcotics
FENTANYL80 times more potent than morphine
Narcotics
• Vicodin– Mix of acetaminophen and hydrocodone
“Zohydro”
• Pure hydrocodone recently approved for use by the FDA.
• Could replace Oxycodone as most abuse drug in United States.
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“Party Drugs”
• MDMA – 3,4-methylenedioxymethamphetamine
– AKA- “Ecstacy”
Properties of a CNS stimulant, rise in body temperature
Similar to adrenaline and mescaline (chemically)
Manufactured illegally, using many of the same chemicals and much of the same equipment as methamphetamine.
Ecstacy
LSD
• Lysergic Acid Diethylamide– Most potent hallucinogen known
– Made from ergot fungus on rye
LSD
Mushrooms Mushrooms
• $5-$10 a gram
• Contain psilocybin and psilocin
• Signs of use include:– Dilated pupils
– Aggressive behavior
– Illusions
– Impaired coordination
– Confusion
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PCP
• Phencyclidine
• Many of the same effects of LSD
• Signs of use include those of LSD but include extreme violent behavior.
• Acts as a hallucinogen, stimulant, depressant and anesthetic all at the same time
• Can be in powder or liquid form
PCP “sherm”
SMELLS LIKE AMMONIA
Inhalants
POST-TEST
1. An ounce of heroin is called what?:A. OunceB. PieceC. NoteD. Bindle
2. Pink methamphetamine is stronger that regular methamphetamine
True or False
3. Zohydro is:A. A type of heroinB. Pure HydrocodoneC. A combination pillD. A good idea from the FDA
POST-TEST
4. Black Tar Heroin smells like:
a. Ammonia
b. Peanut butter
c. Urine
d. Vinegar
5. John W. Huffman created over 400 chemical analogs which mimic
marijuana.
True or False
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SECRET QUESTION
What is MDPV an abbreviation for?
Questions?
Contact: Samantha Roberts509-242-4264
[email protected]: 509-232-8344
Updates Please
EMS Live@Nite presentation, all certificates will be printed by participants or their agency. The
certificate template will be available through the health training website at the same location as all presentation downloads. It will be posted the day after each monthly presentation and be available
for 1 week.
Special thanks to
Sheila Crow
Stitchin’ Dreams Embroidery
For providing our Secret Question prize
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