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Medics face challenges in treating those under influence of bath salts

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February 08, 2012

Medics face challenges in treating those under influence of bath salts

Delaware Gov. Jack Markell enacted legislation that permanently bans synthetic bath salts

States News Service
 
WASHINGTON — With death and hospitalization tolls mounting, many states are acting fast to pass laws that combat synthetic drugs such as bath salts.

Stateline.org reports that Delaware Gov. Jack Markell enacted legislation that permanently bans synthetic bath salts, the common name for chemical compounds that mimic the potentially euphoric effects of meth or LSD.

Users of synthetic bath salts inject, snort or smoke the powdery substance, which can cause extremely violent paranoia, spikes in body temperature and cardiac arrest.

"People under the influence of these bath salts are so out-of-control and violent that they've injured nurses and EMS providers, making it difficult to provide the necessary treatment," Delaware state Rep. Rebecca Walker said in a statement, who is also a practicing nurse. "My biggest concern is for members of the community who may be violently attacked. Permanently banning this dangerous designer drug is an important step in protecting Delawareans."

Stateline writes that according to the National Conference of State Legislatures (NCSL), so far this year lawmakers in 26 states have introduced bills relating to synthetic bath salts, including bans, adding them to lists of controlled substances and creating penalties for possession and distribution.

These synthetic compounds arrived on the scene in late 2010, notes the news source, and state legislators have been trying to keep up with the ever-changing chemical makeup of these drugs, which are manufactured in homes or professional laboratories with packaging labeled "not for human consumption" to circumvent regulatory requirements.

"The first round of laws that we saw were states banning the substances we knew were in the drugs, but then the manufacturers changed them," Alison Lawrence, a policy for NCSL's criminal justice program, told the news source, adding, "The later rounds of laws are a more generic type of ban. The language has been developed by legislatures consulting with health boards and law enforcement to come up with language which captures all of the bad substances, without limiting chemicals that scientists need."

According to NCSL, 31 states enacted some type of restrictions on synthetic bath salts and their most common ingredients in 2011. However, these are just one of many synthetic drugs that have come to states' attention in the last few years. Synthetic cannabinoids, called "K2" or "spice," mimic the effects of marijuana but have much more dangerous side effects. NCSL says that at least 40 states have banned the drugs, and the federal Drug Enforcement Agency banned five chemicals used to make K2 last year.

In the U.S. Congress, House-passed legislation to prohibit the sale of synthetic marijuana and other drugs known as "bath salts" and "plant food" has been delayed indefinitely in the Senate.

LexisNexis Copyright © 2012 LexisNexis, a division of Reed Elsevier Inc. All rights reserved.   
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Copyright 2012 States News Service


Comments
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff.
Brodie Verworn Brodie Verworn Wednesday, February 08, 2012 10:36:44 AM How many of you reading this have a pre-hospital protocol in place dealing with bath salts? If so, what are they and has it been effective in dealing with these type of patients?
Pam N Bob Siloti Pam N Bob Siloti Wed Feb 8 13:33:46 PST 2012 This is such a nasty drug... what people do to themselves is amazing!
Bob Davidson Bob Davidson Thu Feb 9 18:19:19 PST 2012 Some sources for info... http://www.nj.gov/oag/newsreleases11/pr20110428a.html http://www.slideshare.net/Guedde/mdpv-bath-salts-emerging-drug-trends and a really good webinar from Maine: http://www.surveymonkey.com/s/Bath_Salts talk to your medical directors and local poison control centres for more info..
Brodie Verworn Brodie Verworn Thu Feb 9 18:24:59 PST 2012 Bob Davidson We don't have one in writing as of yet, this is why I am asking. For those who have come to the ER with bath salt OD, they are RSI'ing these patients (which we are not allowed to do, pre-hospital). The standard haldol/benzo cocktails we are told to give aren't doing the trick. I am a ff/medic for two departments, one is 13 miles down a mountain to the hospital, and the other is a huge rural district that at its furthest point, can be nearly an hour code-3 transport to the ER. I heard Maine has a high dose versed protocol that is somewhat effective, but I just want to reach out to see who else might have something that is effective.
Bob Davidson Bob Davidson Sat Feb 11 09:21:18 PST 2012 Quite understand the frustration with seeing this approaching and not sure if exisiting protocols are up to it. We havent seen them here yet but are waiting for our docs to amend local protocols once they do. Given the risk of hyperthermia, restraint induced aphyxia and cardiac problems managing these for long transports would be a real challenge. Discussions with your Base Hospital or medical control is the best bet. Theres a good presentation from Bangor Maine on youtube...http://www.youtube.com/watch?v=EAc6j0df4pE
Greg Klingensmith Greg Klingensmith Wednesday, February 08, 2012 5:18:47 PM I have yet to hear of any case of this here in Michigan.
Rhonda R. Inlow Rhonda R. Inlow Wednesday, February 08, 2012 5:51:43 PM so what are the names of these "bath salts" we've not experience this in oklahoma to my knowledge.. this says bath salt and I'm thinkin of eptson salt and others that are used to soak pains away.. am I missin something here?
James Rosse James Rosse Thu Feb 9 05:57:53 PST 2012 "Bath Salts" are the brand or street name of the drug. It's not a particular bath salt that you would pour into the tub and have a good soak in.
Rhonda R. Inlow Rhonda R. Inlow Thu Feb 9 07:44:20 PST 2012 i appreciate you answering this.. thank you James.. I remember the first time i ran on an overdose. the guy was tellin us he melted down ice and shot it up.. I was so lost on the term ice... its hard to keep up with these slangs!!
James Rosse James Rosse Thu Feb 9 09:56:37 PST 2012 Rhonda R. Inlow Unfortunately, unless you run a lot in a region that has more drug problems, you don't hear about things like this. You have to make an effort to find out what's going on with the substance abusers. I'm always amazed at what people will eat, snort, inject, use as a suppository or rub on their skin to get high.
Rhonda R. Inlow Rhonda R. Inlow Thu Feb 9 11:17:14 PST 2012 i get it.. but i'm pleased to be living in such a town that "those" are yet unknown to the community. I hope they will never but i as well know they will at some point..
Brodie Verworn Brodie Verworn Thu Feb 9 18:27:23 PST 2012 Rhonda R. Inlow Bath salts were LEGAL here in Montana less than a year ago. You could buy them at any local convenience store around the county. I am hearing stories of people OD'ing and taking WEEKS to come out of it. The state passed emergency legislation making them illegal, but it doesn't mean that there are still people who haven't stockpiled and can still get them off the internet, as in some states, they are still legal.
Chris Colpitts Chris Colpitts Wednesday, February 08, 2012 9:42:34 PM I had a Pt 2 weeks ago that was on something called 2C-P. Called poison control and they said it was basically synthetic LSD and amphetimines. Has 8x the potency of of LSD and last 10-16 hrs whereas LSD only lasts 3-4. We didn't have a protocol on it so we just treated it as a poisoning/OD. Poor guy thought I was an alien but he made it to the ED. Supposedly they arrest quick with little S/S.
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