Educated discussion of practical knowledge of marijuana dipped joints

Specialties Emergency

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I'm doing a class project regarding the emergency department population that uses "ILLY or WET" Marijuana joints dipped in embalming fliud, or PCP. I would like to host a practical discussion based on nurses experience with these patients in the emergency department you work in. How they presented, what treatments were given, their dispositions, and any other information you would like to add. This information is just part of project will not be used in any way except to gain other nurses perspectives on this issue. Any participation will be greatly appreciated.

Livandluver:nurse:

I can't give you any recent news a I have not seen any of these pts in our ED. We see lots of meth,ETOH, and assorted other drugs. However, I know that this has been taking place in one form or another for 30+years. In the "old days" it was common to add Peyote dust, THC, hash or even distill OTC Paragoric to get the opium to add to joints. It seems like the more things change, the more they stay the saom.

Good luck on your quest, I will be interested to read what others have to say about this

I'm not sure if this is where you've come up with your topic but there was an article in the Journal of ER Nursing I think a couple of months ago. I read it but I don't remember if it had any references for you to peruse. Give it a go if you haven't read it already.

I'm doing a class project regarding the emergency department population that uses "ILLY or WET" Marijuana joints dipped in embalming fliud, or PCP. I would like to host a practical discussion based on nurses experience with these patients in the emergency department you work in. How they presented, what treatments were given, their dispositions, and any other information you would like to add. This information is just part of project will not be used in any way except to gain other nurses perspectives on this issue. Any participation will be greatly appreciated.

Livandluver:nurse:

well, too many years ago when i was in high school we used to call that stuff "flakes" so it is not so new, just "rekindled". i am not sure of the treatment but the people that i went to school with who used it acted like those i have seen who have taken acid. hope this helps. look at stuff from the 80's. :)

Specializes in ER, ICU, L&D, OR.

Ahhh the good old days

still think it should be legalized

The best reference I've found so far on illegal drugs is:

Illegal Drugs: A Complete Guide to Their History, Chemistry, Use and Abuse

by Paul M Gahlinger.

It's packed with information.

I'm kinda reticent about posting links right now ( :imbar wince :imbar )...but you can find it on Amazon.

Also the alt.drug(s) USENET newsgroups have several FAQ's for drug information.

Hope that helps.

this past summer we had quite of few of these patients show up...and they really didn't present w/ any add'l sx as compared to regular "pot" however the pcp would show up in their urine test.

Specializes in Emergency, Cardiac, PAT/SPU, Urgent Care.

We've had a couple of these patients come through our ED and the symptoms that we typically noticed that gave us a clue that they didn't just smoke pot were dilated pupils and nystagmus. They also would act very bizarre such as being awake and alert but unable to answer any questions appropriately. One patient just kept repeating numbers over and over again. They also could not follow directions at all. The only treatment that we did was keep them safe and hydrate them until the PCP wore off. Then of course while they were "sobering up," they would tend to become aggressive and agitated (probably from the PCP). Both patients that I recall were teens and they were d/c'd home with their parents once they started acting appropriately. I'm really not sure if there is a "specific" treatment for these patients. I hope this helps a little!

Specializes in ER, ICU, L&D, OR.
We've had a couple of these patients come through our ED and the symptoms that we typically noticed that gave us a clue that they didn't just smoke pot were dilated pupils and nystagmus. They also would act very bizarre such as being awake and alert but unable to answer any questions appropriately. One patient just kept repeating numbers over and over again. They also could not follow directions at all. The only treatment that we did was keep them safe and hydrate them until the PCP wore off. Then of course while they were "sobering up," they would tend to become aggressive and agitated (probably from the PCP). Both patients that I recall were teens and they were d/c'd home with their parents once they started acting appropriately. I'm really not sure if there is a "specific" treatment for these patients. I hope this helps a little!

Haldol works so well to cool their aggressiveness and then just let them sleep it off

Easier than wrestling or even rationalizing with them

Specializes in ER, HH, CTICU, corrections, cardiology, hospice.

"splifs" dipped in pcp were called sherms or shermans. I don't know the entamology of the term sorry :( .

They call it "Dip Jamming" around here and the pts are wild! It is similar caring for a pt on Dust (PCP) and we have to snow them quick and hard. I have seen several different sedatives used, most commonly Haldol IV. One of our ED attending's family owns a funeral parlor and says when he was in high school his friends used to ask him for embalming fluid for that purpose (ie, its an old trick).

Specializes in NICU.
"splifs" dipped in pcp were called sherms or shermans. I don't know the entamology of the term sorry :( .

Nat Sherman is a brand of "natural" cigarettes. Maybe they empty them and use them for joints? In the same way cigars are used for "blunts"? Don't really know, haven't heard this nickname before.

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