Impact of Legalized Recreational Marijuana on EMS?

MMiz

I put the M in EMTLife
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Has anyone noted any EMS-related issues with the legalization of marijuana?

Increased call volume for certain calls? Workplace issues? Anything else?
 
I am not in a legalized state, but marijuana is generally not the choice of recreational drug in my primary coverage area.

We are on the major pipeline of the trafficking from NYC to Philadelphia and the areas inbetween Wilkes Barre, Scranton, Allentown and Bethlehem brings tons of Methamphetamines and Opiates to the area. 84% of the drug related activity and arrests here were related to methamphetamines, opiates and prescription drugs.
 
I don't live in a legalized state so I don't have anything to support my hypothesis with, but I suppose call volume will increase with more alcohol-like calls: DUIs, acute intoxications, etc.
 
My guess is that there will be no impact on EMS or ED visits. If there is any sort of noticeable difference, it would be a few extra patients with panic attacks. Realistically, the overwhelming majority of buyer of legal MJ are going to be folks that were already recreational users.
 
I don't live in a legalized state so I don't have anything to support my hypothesis with, but I suppose call volume will increase with more alcohol-like calls: DUIs, acute intoxications, etc.


DUIs will go to jail. Just like always.

"Acute intoxication" will get an RX for a Cheetos bolus and a nap.

People that smoke pot aren't getting high and being idiots unless they smoke sherm/wet or they're idiots BEFORE they smoked pot.

I find stoners to be mostly innocuous.
 
From a DUI standpoint, as someone previously mentioned the topic, any THC metabolites is considered grounds for prosecution. As some of you may be aware, THC is fat soluble. Which means it stays in the system for a long time. Can be upwards of a month. The testing method will have to change from urine to swab, or.. Well you wouldn't be legal to drive for a couple days after one smoke. As of now, I can't say
From my limited knowledge of workplace (I only know from speaking to one fire guy in WA), some places with legalized are now resorting to swab to test workers (which monitors about 12-14 hours).
Now personally I don't think there will be an increase of any merit on EMS calls.
I think we have more issues right now with synthetic than any we will have with real. I'm aware of a few cases just here locally where this has occurred. One was the freshman brother of a good friend of mine;
New Research Links Smoking Synthetic Marijuana With Stroke in Healthy, Young Adults
http://www.sciencedaily.com/releases/2013/11/131119142230.htm
Edit: Didn't see the acute intoxication.
What's the worst that happens? Someone greens out on ya (normally caused by smoking going into the stomach)? Alright go to bed. You'll be fine when you get up (I may be putting too much faith in people on this one).
 
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DEmedic and 9D4, I was mostly coming from a standpoint of DUIs causing more accidents which would lead to more EMS responses. However, given that recreational users are probably now going to become the legal users, I don't really see anything drastically jumping. I was just coming from the train of though that like any other drug, marijuana would impair ones judgement enough to cause people to do stupid things, which is when EMS usually gets involved. Just wanted to reiterate that these are purely my wild guesses as I have not experienced the effects of marijuana enough to scientifically describe its impact.
 
Well absolutely nothing has changed here in my little slice of Colorado. The people that were smoking pot before hand are still smoking pot. The idiots that drive high are still driving high, and they still go to jail when they get caught.

Lots of my patients are stoned. This is nothing new to me. The cops didn't care before and they definitely do not now.

If the ambulance gets into an accident, I still pee in a cup. If the UA is positive for THC, I will be terminated. No one takes into account whether or not you were actually under the influence at the time and there is no blood draw requirement for employers or anything like that.

Honestly pot is so prevalent in this state that I am not expecting big changes at all.
 
Where I'm at pot is so widespread that it's practically legal. I mean, there are already conventions and festivals for the stuff and people walk around smoking in public, right in front of the cops, and don't get hassled. I think it's a pretty benign drug.

If anything, I think that large-scale legalization might actually wind up being a good thing in regards to overall health and wellness. Alcohol is a hugely devastating substance that has a long list of social and physical problems. What if people used pot socially instead of getting drunk? I imagine less violence, fewer cases of severe intoxication, decreases in a number of cancers and organ failures, and probably a decrease in DUIs.

How many times have you picked up unresponsive, vomiting patients found laying outside a bar at 2 AM? Or been to a domestic dispute where someone got drunk and beat the heck out of someone else? Or had the jaundiced patient with a belly so full of fluid that it looks like it'll pop, all from years of alcohol abuse?

Now, think of how many times you've had to deal with someone because they're high. Sure, it happens, but not nearly as often as we deal with drunks. And it's almost never anything life threatening. People don't get high and beat their wives. They get high and eat Cheetos.
 
Well absolutely nothing has changed here in my little slice of Colorado. The people that were smoking pot before hand are still smoking pot. The idiots that drive high are still driving high, and they still go to jail when they get caught.

Lots of my patients are stoned. This is nothing new to me. The cops didn't care before and they definitely do not now.

If the ambulance gets into an accident, I still pee in a cup. If the UA is positive for THC, I will be terminated. No one takes into account whether or not you were actually under the influence at the time and there is no blood draw requirement for employers or anything like that.

Honestly pot is so prevalent in this state that I am not expecting big changes at all.

What I was figuring already, the people that were doing it illegally are just doing it now legally,

Kinda like underage drinking,, the underage did it for years just now doing it legally,, when they turn 21
 
Where I'm at pot is so widespread that it's practically legal. I mean, there are already conventions and festivals for the stuff and people walk around smoking in public, right in front of the cops, and don't get hassled. I think it's a pretty benign drug.

If anything, I think that large-scale legalization might actually wind up being a good thing in regards to overall health and wellness. Alcohol is a hugely devastating substance that has a long list of social and physical problems. What if people used pot socially instead of getting drunk? I imagine less violence, fewer cases of severe intoxication, decreases in a number of cancers and organ failures, and probably a decrease in DUIs.

How many times have you picked up unresponsive, vomiting patients found laying outside a bar at 2 AM? Or been to a domestic dispute where someone got drunk and beat the heck out of someone else? Or had the jaundiced patient with a belly so full of fluid that it looks like it'll pop, all from years of alcohol abuse?

Now, think of how many times you've had to deal with someone because they're high. Sure, it happens, but not nearly as often as we deal with drunks. And it's almost never anything life threatening. People don't get high and beat their wives. They get high and eat Cheetos.


People who get drunk now will still get drunk if it is legal. I don't see any change occurring with that.
 
The change I anticipate will be defined when an employee is terminated for using (not proven to be intoxicated on the job) legal marijuana and takes the employer to court. Eventually some test will be necessary to determine if the former employee still had enough THC in their system to be impaired, so they will drum up some THC microgram per serum ml per body weight kg ratio as a guideline and then people will try to smoke just enough to stay "one toke under the line" to steal a phrase.

I reiterate a comment on commonsense EMS work: do not work with an impaired co-worker. Ever. To any degree. And don;t be that co-worker yourself.
 
People who get drunk now will still get drunk if it is legal. I don't see any change occurring with that.

Yeah, but if there was an alternative intoxicant to alcohol, perhaps we would see less people getting trashed on alcohol. Perhaps it will even stave off a number of would-be alcoholics. I can dream, can't I?
 
The change I anticipate will be defined when an employee is terminated for using (not proven to be intoxicated on the job) legal marijuana and takes the employer to court. Eventually some test will be necessary to determine if the former employee still had enough THC in their system to be impaired, so they will drum up some THC microgram per serum ml per body weight kg ratio as a guideline and then people will try to smoke just enough to stay "one toke under the line" to steal a phrase.

I reiterate a comment on commonsense EMS work: do not work with an impaired co-worker. Ever. To any degree. And don;t be that co-worker yourself.

Blood draws can determine the preset level of THC in a patient or suspect. A second test can determine baseline THC content, which is an option for law enforcement out here to determine DUI charges.

Frankly I think this what employers should be doing but I doubt it happens.
 
Blood draws can determine the preset level of THC in a patient or suspect. A second test can determine baseline THC content, which is an option for law enforcement out here to determine DUI charges.

Frankly I think this what employers should be doing but I doubt it happens.

How much cost is associated with this type of test though?

I remember when bath salts was a huge phase around here and testing for it was so expensive that it wasn't warranted. It was just assumed that a person was taking bath salts.

The problems we have associated with alcohol will exsist with marijuana but the smell of marijuana on the breath will be impossible. I assume you just get suspicious if you see your partrner carrying visine, and has a lunchbox full of snacks.
 
How much cost is associated with this type of test though? ….
….The problems we have associated with alcohol will exsist with marijuana but the smell of marijuana on the breath will be impossible. I assume you just get suspicious if you see your partrner carrying visine, and has a lunchbox full of snacks.

INdeed!
:rofl:

They'll get a urine test perfected if there is a market for it.
 
All it will be is newbies or parents freaking out. Cannabis does not cause any medical emergencies
 
DUI into a tree?


Also, many folks who use one recreational drug use others, often simultaneously. Unless getting marijuana cheaper and easier than before slakes their need, they will still be drinking and doing crank or Ambien or whatever PLUS more weed than before.
 
DUI into a tree?


Also, many folks who use one recreational drug use others, often simultaneously. Unless getting marijuana cheaper and easier than before slakes their need, they will still be drinking and doing crank or Ambien or whatever PLUS more weed than before.

It'll be REEFER MADNESS!!! :roll eyes:

In all seriousness though, I think you're using a poor slippery slope argument. Does alcohol automatically lead to abusing prescription medication? Does watching violent movies lead to beating your wife?

There are many many people who use pot quietly and responsibly, and that number grows by the day. Sure, there's also a lot of rampant drug abuse going on, but addicts are going after stuff a bit harder than pot, and marijuana doesn't exactly pose the same health risks as other drugs. It could even be argued that pot is a fair sight healthier than using alcohol.
 
Blood draws can determine the preset level of THC in a patient or suspect. A second test can determine baseline THC content, which is an option for law enforcement out here to determine DUI charges.

Frankly I think this what employers should be doing but I doubt it happens.

I'm pretty sure that all the tests can determine is the presence of THC metabolites above a certain threshold, but cannot say "how much" a person has truly consumed. That's part of the problem, it's generally just a 'yes' or 'no' check box on whether there's any at all in someone's system.

From what I understand the mouth swab tests are becoming more popular because it's based on the principle that the epithelial cells in the mouth slough off and regenerate at a fast pace, meaning that if there's a positive test from the mouth the person has used within about 12 hours.
 
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