Kush: A New Synthetic Opioid in Jails
Kush, a synthetic drug containing nitazenes, is beginning to show up in U.S. jails. Though it mimics the calming effects of marijuana, its chemical makeup is far more intense. Nitazenes are synthetic opioids similar to fentanyl and generally calls for multiple doses of naloxone (Narcan). According to the Associated Press, Kush has already caused widespread overdose clusters in other countries and is now an emerging concern in correctional settings.
Watch for 12 breaths per minute or less
The effects of Kush are very similar to fentanyl. People using Kush may appear drowsy, slow-moving, or unaware of their surroundings. Breathing may become shallow or irregular. Get the respiration rate of detainees who report taking gas station drugs:
Count the number of times a detainee’s chest rises and falls in 30 seconds
Multiply this number by 2 to get the respiration rate
As a general rule, get medical involved when a detainee’s respirations fall to 12 breaths or less per minute. While it may look like someone is just “high,” symptoms can quickly shift toward an overdose. Do not just let them “sleep it off.” Staff should watch for slurred speech, trouble staying upright, or unresponsiveness. Unlike cannabis, Kush can affect breathing. Watch for 12 breaths per minute or less.
Use naloxone and call 911
Since Kush contains nitazenes, overdose treatment should follow opioid overdose response steps. Administer naloxone right away and alert medical staff to the person’s condition. Multiple doses may be appropriate. Do not assume the person is stable after the first dose. Call 911 and observe closely until EMS can take over. When in doubt, send them out! Use naloxone and call 911.
For more information, please contact training@sparktraining.us.
Disclaimer
All materials have been prepared for general information purposes only. The information presented should be treated as guidelines, not rules. The information presented is not intended to establish a standard of medical care and is not a substitute for common sense. The information presented is not legal advice, is not to be acted on as such, may not be current, and is subject to change without notice. Each situation should be addressed on a case-by-case basis. When in doubt, send them out!®
