11/8/2017
1
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?
11/8/2017
2
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?
6
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??
11/8/2017
3
11/8/2017
4
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
11/8/2017
5
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
11/8/2017
6
AKA: “Zannie” Air Freshener
Mr. Smiley Products
11/8/2017
7
Relax Max Bars
AKA: “Zannie” Air Freshener
11/8/2017
8
• 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..
11/8/2017
9
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.
11/8/2017
10
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?
11/8/2017
11
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
11/8/2017
12
› 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
11/8/2017
13
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
11/8/2017
14
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”
11/8/2017
15
2015
Duct Tape
Challenge
Internet Dangerous Games
What's the big deal?
11/8/2017
16
Eraser Challenge
› “erasing” their skin while saying ABC’s
› Middle School and JH
2014
Knock Out
Challenge
Violence Games