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Trauma on the Information Highway

By: Jason Martin, RN CEN CPEN TCRN NREMTP

Violence

Sexual Assault

Trauma

“Friends”

Texting

Drugs

Suicide

Dark WebPredators

Information

What are we talking about?

Community Fears?

What do you fear?

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Growing up in 2017

Pharm Party

Drugs/Alcohol.Knock Out

Game

Bullying

EraserChallenge

Choking Game

CinnamonChallenge

Helmet Safety

Internet Safety

Distracted Driving

Hill-Topping

Who thinks of all these things?

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Toad Licking (Psychoactive Toad)› ”Cane” toad

› Sniffed, Injected or ingested

› 5-Methoxy-N, N-dimethyltryptamine

› Chemical gets into your body and act is like a serotonin agonist, binding to serotonin receptors and releasing the ”good stuff”

› Massive burst of adrenalin in the person or animal that takes it, increases the heart rate to fibrillation and seizures and death.

› Also secretes substances that weaken muscles and cause nausea

Guess first “2” abusers??

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Information: psychoactive

plants & chemicals.

Legal & Illegal

substances 17 million people visit

per year

1995Erowid

“Earth Wisdom”

V

Vaults

P

EcstasyData.org

C

Controversy

E

Extracts

Erowid

User stories on variety of substances

Independent lab pill testing program, checking the

quality of American ecstasy

Praise and Criticism. More harm than good..

Newsletter, since 2001. New articles on plants and drugs

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Synthetic XanaxPhenazepam

› Developed in 1978 in Soviet Union

› Used in Russia for TX of neurological disorders such as epilepsy, ETOH withdrawal and insomnia

› 1mg is equivalent to 10mg Diazepam

› Dose is 0.5mg-2mg (erowid)

› Pharmaceutical ½ life of 60 hours

› S/E: Hiccups, dizziness, loss of coordination and other benzo side effects

Relax Max Bars

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AKA: “Zannie” Air Freshener

Mr. Smiley Products

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Relax Max Bars

AKA: “Zannie” Air Freshener

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• Man made or altered

• Not new

• Legally confusing

• Drug Screens

• Synthetic Marijuana

• Bath Salts

• Flakka

• Synthetic Xanax

• Synthetic Vicodin

• Green Hand Grenade

• Duck1

Designer Drugs: Our future

• National Institute on Drug Abuse in 1984: Dr. John Huffman

• 450 Synthetic compounds over 20 years

• 2 of the compounds in 2000 were sold to Germany• Spice/K2

Where do we start..

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U-47700

U-47700: Research Chemical in the 1970 by Upjohn pharmaceuticals. 7.5 times stronger than morphine

Multiple stories online regarding use. Parkland in Dallas, Texas

released statement

Never studied in Humans, studied only in animals which

showed potency 7.5 times stronger than morphine

Pump It

Several deaths in SW Missouri. Paint

rave parties

Synthetic Xanax:

Phenezapam: 1978 used in Russia 1mg

= 10mg Valium. Dallas Texas

Gravel:

Looking for a more controlled high so

Depakote

Flakka:

Started in SE, spreading across the

US.

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1984University of Alberta

Most powerful in a series of 30 compounds

NO Pharm Company picked it up

100X Fentanyl10,000X Ms04

1974First synthesized by a

team of chemistJanssen Pharm

“Wildnil”

Used as anesthetic for large animals

8/2016Heroin laced with

Carentanil found in Florida, Indiana and

Ohio

Fentanyl

April, 2016Northern, CA9 Overdoses

Opiate toxicity“far more

pronounced”Narcan?

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2015

National Media

headlines

in April , 2017

100 children died during

the winter of 2016.Blue Whale

Game

Blue Whale Game

› Inventor: Philipp Budeikin, 21y/o, admitted to personally talking 16 girls into suicide

› Stated he was “Cleansing Society” and that the victims were “happy to die”

› Game often called/compared to a “virtual version” of “Saw”

movies

Blue Whale Game

› Players must perform a total of 50 tasks, one each day

› Each task will involve abusing themselves, both physically and emotionally

› Examples include:– Wake up at 0400

– Pierce their hands

– Watch horror videos

– Carve symbols into their legs with a blade

– Don’t speak to anyone for a day

– Final task is suicide

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› Users receive their tasks from fake Vkontakte accounts

–Vkonakte is 4th most popular website in the world, Europe primary online social media with 410 million accounts (Google has 90 million)

› Rules include not telling anyone you are playing game

› Public groups related to the game are full of depressing pictures, quotes about meaninglessness of life and youths rebelling against adults

› Children are attracted to mystery and fantasy, esp. related to death

› If one suffers from psychological problems or trauma, not surprising that they will complete the game

Dark WebContent that exists on darknets, overlay

networks which use the internet but

require specific software

Not indexed by search engines

Deep web: Academic databases,

medical records, financial records, legal

documents

Dark Web: TOR, Political protest, Drug

trafficking and other illegal activities

Oldest YouTube

video documenting

on the web was

2006

Cinnamon Challenge

Internet Dangerous Games

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Asthma: Trigger an

asthma attack

It’s “Natural” : It’s safe

to eat not inhale

Cinnamon is ground

tree bark. This makes

it difficult to get out of

your lungs

.

It contains

Cinnamaldehyde

which binds and “fixes’

human tissue.

What’s the big deal?

5th and 6th

graders

Choking Game

Internet Dangerous Games

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2014

Fire Challenge

Fire Challenge

2017

Any Guesses?

Swatting?

Swatting

›Action of making prank call to emergency services to illicit a swat team response..

› Streamed online

›April, 2017: 2 young men were shot with rubber bullets after being “swatted”

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2015

Duct Tape

Challenge

Internet Dangerous Games

What's the big deal?

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Eraser Challenge

› “erasing” their skin while saying ABC’s

› Middle School and JH

2014

Knock Out

Challenge

Violence Games