why am i here today?desomorphine •codeine cough tablets •gasoline •red phosphorous •iodine...

40

Upload: others

Post on 27-Mar-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 2: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 3: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Why am I here today?

Page 4: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 5: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

The Drugs Named In These Books

PIHKAL The Essential Amphetamines • PMA (para-methoxy-amphetamine)

• 2,4-DMA (2,4-dimethoxy-amphetamine)

• 3,4-DMA (3,4-dimethoxy-amphetamine)

• MDA (3,4-methylenedioxy-amphetamine)

• MMDA (3-methoxy-4,5-methylendioxy-amphetamine)

• MMDA-3a (2-methoxy-3,4-methylendioxyamphetamine)

• MMDA-2 (2-methoxy-4,5-methylendioxyamphetamine)

• TMA (3,4,5-trimethoxyamphetamine)

• TMA-2 (2,4,5-trimethoxyamphetamine)

• DMMDA (2,5-dimethoxy-3,4-methylenedioxyamphetamine)

• DMMDA-2 (2,3-dimethoxy-4,5-methylenedioxyamphetamine)

• TeMA (2,3,4,5-tetramethoxyamphetamine)

The Magical “Half Dozen”

• Mescaline (3,4,5-trimethoxyphenethylamine)

• DOM (2,5-dimethoxy-4-methylamphetamine, DOM being short for desoxy methyl, referring to the removal of the Oxygen atom from the Methoxy group on the "4" carbon.

• 2C-B (2,5-dimethoxy-4-bromophenethylamine)

• 2C-E (2,5-dimethoxy-4-ethylphenethylamine)

• 2C-T-2 (2,5-dimethoxy-4-ethylthiophenethylamine)

• 2C-T-7 (2,5-dimethoxy-4-(N)-propylthiophenethylamine)

TIHKAL

• 55 Chemicals, all variations of Tryptamines, Among them, – DMT

– LSD

Page 6: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

2-CB

• Rusko • Venus • Bees • Nexus • Spectrum

Page 7: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

2-cb

Page 8: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 9: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Trip Report

Page 10: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

2-CE- “EUROPA”

Page 11: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

2C-E Dosages

Oral

Threshold 2 - 5 mg

Light 5 - 10 mg

Common 10 - 15 mg

Strong 15 - 30 mg

Heavy 25 - 40 mg

Onset : 20 - 90 minutes

Duration : 6 - 10 hours

Normal After Effects : 2 - 6 hours

2C-E Dosages Insufflated (tentative)

Threshold 1 mg

Light 1 - 3 mg

Common 3 - 7 mg

Strong 6 - 10 mg

Heavy 10+ mg

Onset : 1 - 10 minutes Duration : 3 - 6 hours

Normal After Effects : 2 - 6 hours

2C-B Dosages

Oral

Threshold 2 - 5 mg

Light 5 - 15 mg

Common 15 - 30 mg

Strong 25 - 50 mg

Oral 2C-I Dosages

Threshold 2 - 5 mg

Light 5 - 15 mg

Common 10 - 25 mg

Strong 20 - 30 mg

Via www.erowid.org

Page 12: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Trip Report

Page 13: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

2-CI- “Smiles”

Page 14: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 15: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Trip Report

Page 16: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 17: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Oral Bromo-Dragonfly Dosages

2006

WARNING: SEE NOTES ABOVE

Threshold 500 ug

Common 800 - 1300 ug

Strong 1200 - 1800

Heavy 1600 + ug

Oral Bromo-Dragonfly Dosages

2005 "European" Batch

WARNING: SEE NOTES ABOVE

Threshold 100 ug

Common 200-400 ug

Strong 500-800 ug

Heavy 800 + ug

Page 18: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

What are Bath Salts?

Page 19: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Synthetic Cathinones are b-keto (‘bk’) Analogs of Amphetamine

Page 20: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 21: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Agitation 82%

Combative/Violent behavior 57%

Tachycardia 56%

Hallucinations 40%

Paranoia 36%

Confusion 34%

Myoclonus/Movement disorders 19%

Hypertension 17%

Chest pain 17%

CPK elevations 9%

Clinical Symptoms of Synthetic Cathinone Use in Patients Admitted to the Emergency Department (N=236)

SOURCE: Spiller et al. (2011). Clinical Toxicology, 49, 499-505. 25

Page 22: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 23: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 24: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 25: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 26: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

DMT

Page 27: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

DMT??? HMMMM

Page 28: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Salvia Divinorum

Page 29: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 30: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Molly

Page 31: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

The route of administration is important when

reviewing drug usage by a particular “user”.

• Drugs can be given by mouth, skin (patches, creams),

inhaled (lungs), mucosal tissue (e.g., nose, vagina, and

rectum), intravenous (IV), intramuscular (IM) or

Subcutaneous (SC or SUBQ).

– Example, smoking OxyContin ®

– None of these drugs are intended to be smoked or injected!!

Page 32: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Oxy Contin- Old News

Page 33: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Opana- “Stop Signs”

Page 34: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Desomorphine

• Codeine cough tablets

• Gasoline

• Red phosphorous

• Iodine

• Hydrochloric Acid

Page 35: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Krokodil

Page 36: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

SPICE-K2

Page 37: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training
Page 38: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Trip reports

Page 39: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Preliminary Training For Drug

Evaluation and Classification

INDICATORS CONSISTENT WITH DRUG CATEGORIES

CNS Depressants

CNS Stimulants

Hallucinogens Dissociative Anesthetics

Narcotic Analgesics

Inhalants Cannabis

HGN

VGN

Lack of

Convergence

Pupil Size

Reaction to Light

Pulse Rate

Blood Pressure

Body Temperature

Muscle Tone

Present

Present

(High Dose)

Present

Normal (1)

(1) Soma, Quaaludes and possibly some anti-depressants usually dilate pupils.

Slow

Down (2)

Down

Normal

Flaccid

None

None

None

Dilated

Slow

Up

Up

Up

Rigid

None

None

None

Dilated

(2) Quaaludes, ETOH and some anti-depressants may elevate.

Normal (3)

(3) Certain psychedelic amphetamines may cause slowing.

Up

Up

Up

Rigid

Present

Present

Present

Normal

Normal

Up

Up

Up

Rigid

None

None

None

Constricted

Little to

None Visible

Down

Down

Down

Flaccid

Present

Present

(High Dose)

Present

Normal (4)

(4) Normal, but may be dilated.

Slow

Up

Up/Down

(5)

(5) Down with anesthetic gases, up with volatile

solvents and aerosols.

Up/Down/

Normal

Normal or

Flaccid

None

None

Present

Dilated (6)

(6) Pupil size possibly normal.

Normal

Up

Up

Normal

Normal

FOOTNOTE: These indicators are those most consistent with the category, keep in mind that there may be variations due to individual reaction, dose taken and drug interactions.

Page 40: Why am I here today?Desomorphine •Codeine cough tablets •Gasoline •Red phosphorous •Iodine •Hydrochloric Acid . Krokodil . SPICE-K2 . Trip reports . Preliminary Training

Travis Herbert California Highway Patrol

707.689.3411

[email protected]

Twitter- @broham11550