INTRODUCTIONINTRODUCTION INTRODUCTIONINTRODUCTION

• SMTraining (UK)SMTraining (UK)• 15 Years 15 Years

experience as a experience as a Specialist Drugs Specialist Drugs Training CompanyTraining Company

• Expert advisor Expert advisor Ambulance Ambulance Association UKAssociation UK

• National National consultancy consultancy

• National advisor on National advisor on illicit drugsillicit drugs

1909 1909

“ The sufferer is tremulous and loses his self command; he is subject to fits of agitation and depression. He loses colour and has a haggard appearance…as with other such agents, a renewed dose of the poison gives temporary relief, but at the cost of future misery.”

Scene Assessments

• Home Visits• Surgeries• Hospitals• Clinics

Introduction to scene assessment

Look

Using P.O.P makes risk assessments a conscious

process and that in turn reduces risk to individuals. It involves

breaking risks into three categories

Person

Object

Place

WHAT ARE DRUGSWHAT ARE DRUGS

• OPIATES • CANNABOIDS• PHYSICAL

DEPENDANCY• PSYCHOLOGICAL

DEPENDANCY

ANNA

• Age: 22• Single Mother• Unemployed• Assessed at 18 wks• Discloses the use of

cannabis• Now what ????

CANNABISCANNABIS

CANNABIS&

PREGNANCY

CANNABIS&

PREGNANCY• Low birth weight• Breathing difficulties• Higher risk of cot

death• Premature• Bleeding /

Miscarriage

EFFECTSEFFECTS

• EUPHORIA• RELAXATION• CHANGE OF

PERCEPTION• PSYCHOSIS

Methylenedioxymethamphetamine

ANNA - Ecstasy

ECSTASYECSTASY

• Congenital Abnormalities

• Research is not conclusive

• Mixing of drugs represent real risk factors

Ecstasy Deaths

AMPHETAMINEAMPHETAMINE

AMPHETAMINE THE RISKS ?AMPHETAMINE THE RISKS ?• 65 Children studied• Studies carried out at

ages 1-4-8• 20% in homes at birth• After 10 years- 70% in

foster homes• Direct link to

aggression and violence during Amphetamine use in fetal life

St Gorans children hospital Stockholm

COCAINECOCAINE

• EXTRACTED FORM COCOA PLANT

• SOUTH AMERICAN • RUBBED ON TO GUMS

• FREEBASE COCAINE

ANNA

• Age: 22• Single Mother• Unemployed• Discloses the use of

Cocaine• Now what ????

The RisksThe Risks• In early pregnancy

may increase risk of miscarriage

• High risk premature labour

• Generally smaller head babies

• Deep sleep is common during days

COCAINECOCAINE

Importation

CRACK THE RISKSCRACK THE RISKS

• Low child birthweight typically below 5 ½ lbs

• Urinary tract defects and Heart Defects are Common

HEROINHEROIN

ANNA

• Age: 22• Single Mother• Unemployed• Assessed at • Discloses the use of

Heroin or Methadone• Now what ????

• Extreme risk of miscarriage

• Usual blood born diseases HIV,HEP

• Sudden withdrawal – Still Birth, miscarriage

• Drug present in breast milk if using whilst breast feeding

PRODUCTIONPRODUCTION

EFFECTSEFFECTS

• INITIAL EUPHORIA• INCREASED WELL BEING AND • DROWSINESS & DISPHORIC MOOD• SLURRED SPEECH• IMPAIRMENT IN ATTENTION

DANGERS DANGERS

• INFECTION• CAPILLARY

COLLAPSE

Morphine Substitutes

RachaelRachael

Professional Staff DevelopmentLakeview

The Maltings

Shepton Mallet

Somerset BA4 5QE

Tel: - 0845 347 0017

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