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James R. Ginder, MS,NREMT,PI,CHES,NCEE
Health Education Specialist
Hamilton County Health Department
Define what the cinnamon challenge is.
List three health effects of smoking alcohol.
Describe what drunken gummies are.
Explain three effects of jimson weed.
Recognize three effects of weed candy.
Research on teens reveals that the frontal lobe of the brain that controls executive decision making and impulse control are not fully developed, making them prone to poor choices
Weighing the pros and cons and seeking solutions are sometimes beyond their capabilities
Teens were found capable of reasoning about the possible harm or benefits of different courses of action. However, in the real world, adolescents still engaged in dangerous behaviors, despite understanding the risks involved.
Steinberg L. Risk Taking in Adolescence: New Perspectives From Brain and Behavioral Science. Current Directions in Psychological Science 16 (2): 55 – 59. 2007.
Source: India Today
What is it: o A type of gum that has caffeine added to it
o Sold in a hexagon shape
o It is marketed to adults and it is not
recommended for children
o The manufacturer states it will “boost” your energy
o Sold in packs of eight and is sugar-free
o 1 stick of gum = 40 mg of caffeine = 1/2 cup of regular coffee
How does it work? o Caffeine is released in the saliva when the
gum is chewed
o The caffeine is absorbed directly into the bloodstream through the cheeks and under the tongue
o Some of the caffeine is swallowed
What are the effects of the gum? o Anxiety ,Restlessness, Sleepiness
o Increased heart rate, heart arrhythmias
o Heart palpations
o Even seizures may develop in some cases
What is it: o A solid, waxy substance of concentrated THC
o THC can range from 70-90 percent
Other names: o Dabs
o Ear wax
o Wax
o Honey, Honey oil
o Shatter
Who is it market to: o Anyone that uses marijuana
o Smokes that want a higher potency with little quantity so it can be transported easier and hide easier
How it’s made: o Pot is blasted with butane that is then extracted o Filtered with a coffee filters o This will turn the pot into a wax o After the pot has cooled it is put in small
containers to smoke or sell
Health effects: o Impaired short-term memory o Slow reaction time o Increase heart rate o Altered mood o Anxiety
Source: YouTube
What is it: o It begins with teens being dared to swallow a
spoonful of powered or ground cinnamon without drinking water
Other names: o Cinnamon Dragon o Dragon
Immediate Effects: o Gagging o Vomiting o Coughing o Choking o Throat irritation
Health Effects: o Asthma attacks
o Injuries to the mouth and throat
o Damage to the lungs
o Pneumonia
o Respiratory distress
o Respiratory arrest
o Death
What are they: o Gummy bears or worms that have been soaked
in vodka o 80 plus different recipes on YouTube o They are put in plastic bags to look like
“normal” gummies o Odorless
What are the dangers: o Teenagers are becoming intoxicated o They do not know how much alcohol is in each
bear o High risk of STD’s/STI’s o Respiratory depression/arrest o Death
Normal
Not Normal
What are they: o The “new” way to “do energy” o This is a product that replaced energy drinks o For anyone who needs a “boost” of energy o Every strip has 20 mg of caffeine o Four sheets = one energy drink o Comes in Cinnamon Rush and Berry Blast o The product states it:
• Has No Sugar • Has No Calories • Has No Crash • Contains Vitamins B6,B12 & E
Who should not use this product: o Children under the age of 12 o Pregnant women o Nursing mothers
How do they work: o Place under the tongue and let the sheet dissolve, then swallow the sheet o The user will feel a cool, refreshing kick and boost of energy o No aftertaste o Takes about 15-20 minutes to work o The company states “not to exceed four sheets in three hours”
Health effects: o Nervousness o Sleepiness o Increase heart rate o High blood pressure o Anxiety
What is it: o A 23 oz. fruit-flavored malt beverage that contains
12 percent alcohol which is equivalent to drinking four to five beers and as much caffeine as in a cup of coffee
Slang names: o Blackout in a can o Liquid cocaine
How it is sold:
o Sold as a cheap and fast way to become intoxicated o Flavors include:
• Blue raspberry • Lemonade • Cranberry lemonade • Orange blend • Fruit punch • Watermelon • Brazilian berry
How it is classified: o Stimulant and depressant
o The stimulant keeps the drinker feeling wide awake so they consume more of the product
o The depressant cause the drinker to go into respiratory depression
What is in it: o Taurine
o Guarana
o Other energy boosting substances
Health effects: o Caffeine makes the person less aware of
the effects of the alcohol
o Dehydration
o Diminished coordination, balance
o Body temperature problems
o Shortness of breath
o Dizziness
o Increased blood pressure/CVA
o Heart attack
o Nausea
o Feeling of being “wide awake”
o Death
What are they: o They are marketed as the first “relaxation brownie”
o They are meant as a dietary supplement to aid adults who lead a stressful, energy drink-fueled lifestyle in order to wind down and relax
What is in a Mellow Munchies: o Melatonin, sugar, water, eggs, chocolate, a variety of
herbal extracts (Rose hip, Valerian root, Passion flower)
What is Melatonin: o A hormone that is produced in the brain to help us sleep
o Healthy young and middle aged adults usually produce about 5-25 micrograms of melatonin each night
o Mellow Munchies have 3.9 mg, which is 10 times more than the body makes
How are they sold: o The brownie fits in the palm of one hand and is sold as
two servings
What are the health effects: o Central nervous depression
o Breathing difficulty
o Sleepiness, unable to stay awake
o Nausea/vomiting
o Death
Source: Cicero Fire Department Source: Amanda Smith, Hamilton County Parks Department
What is it: o A plant that grows wild throughout America, surviving in remote
areas, backyards and farm fields.
Other names for it: o Angel’s trumpet o Devil's weed o Devil’s snare o Green Dragon o Thorn apple o Jamestown weed o Stinkweed o Locoweed o Mad hatter o Mad seeds o Zombie cucumber
What does it look like: o A 3 to 5 foot tall green plant with large, soft
leaves and walnut sized seeds that are often covered in spikes. Jimson weed’s distinctive trumpet-like white-cream colored flowers emit an unpleasant smell
o The pod is a little bigger than a golf ball and contains dozens of greenish-brown seeds, about the size of peppercorns.
o If you find it growing in your yard or garden, you should remove it immediately as it is extremely poisonous to humans and pets as well
Where is it found: o Farm fields o Gardens and yards o Seeds can be bought on-line
How is it abused: o Smoking the leaves
o Ingesting the seeds or leaves
o Brewing the seeds into teas
o Eating the seeds
o Chewing the flower
Effects of the drug: o May take 1-4 hours for the drug to work
o The effects of the drug may last for days
Users become: o Violent o Paranoid o Hallucinogenic o Dissociated from reality o Completely unpredictable o Extremely unstable in mental status
Health effects: o Amnesia o Spasmodic muscle movements o Flushed skin o Increased body temperature o Inability to urinate o Extremely dilated eyes which causes sensitivity to light o Dry mucous membranes o Difficulty swallowing o Difficulty speaking
Overdose: o Overdoses can occur easily as it is almost
impossible to gauge the strength of the plant before ingestion
Overdose health effects: o Increased body temperature
o Rapid heartbeat
o Cardiac arrest
o Stroke
o Seizures
o Coma
o Death
Source; YouTube
What is it: o A handful of table salt is put on the teen’s hand
or arm and then ice cubes are placed over the salt.
o Some teens will have their friends push the ice cubes on the salt as hard as they can so the burning will occur faster
o They try to see who can “handle” the pain the longest
How does it work: o Adding salt to ice will lower the temperature
and make it colder than the regular temperature of ice
What happens: o The mixture soaks up heat from the
surrounding skin cells, causing a partial or full thickness burn
o Frostbite may even develop in this area
Long term effects: o May need surgery to debride the burn
o May have scarring
How do you treat the burn: o Like a chemical burn
o Need to transport to a burn center
What is it: o A new way for teenagers to become
drunk without the extra calories
o Many teens say it helps them lose weight
o The alcohol does not circulate in the blood so they don’t get a hangover
How is it done: o They inhale alcohol vapors and become
intoxicated
o May add dry ice
How does it work in the body: o The vapors go directly into the lungs, where it enters the
bloodstream and goes to the brain o The person will go from sober to drunk within seconds
Health effects: o Alcohol poisoning o Headaches o Dizziness o Brain damage o Lung damage o Dries out the nose and mouth o Too much carbon dioxide in the blood o Blood-alcohol levels may not reflect the person’s true
intoxication o Respiratory distress and arrest o Death
What is it: o A drinking game where teens and young adults pour
vodka directly into the eye
Why does it cause damage: o Vodka had 40% pure ethyl alcohol and is highly
corrosive.
Why are teens and young adults doing this: o They think that alcohol will pass through the mucous
membrane of the eye and enter the bloodstream faster , giving them a quicker buzz then drinking
o According to the American Academy of Ophthalmology this does not make them have a quicker buzz
What are the effects: o Can damage the surface of the eye, which can cause an infection
o Can lead to permanent visual damage
o Corneal Ulcers
o Scarring
o Cloudy vision
o Pain
o Blindness
How to treat: o Flush with water
o Cover both eyes
What is weed candy: o Marijuana that is made into a candy form o Usually contains high amounts of THC
How it is made: o “Pot” is ground into a fine powder, heated in
vegetable oil for up to an hour and then passed through a cheesecloth to remove any solids.
o Artificial flavorings are added, such as: • Cherry (Most common) • Orange • Root beer • Sour apple • Coffee • Butter rum
o Unlike pot brownies or cookies, hard marijuana candy is made with highly concentrated marijuana oil or extract
Source: DEA
How is it taken:
o It is broken into bite-sized pieces and can be smoked, but it is usually eaten
Symptoms of use: o Red blurry eyes o Bloodshot eyes o Rapid heart rate o Hunger o Dry mouth o Anxiety o Paranoia, fear o Poor memory o Poor coordination/slow reaction time o Nausea & Vomiting o Fear of loss of control
Source: DEA
ABC News American Association Of Poison Centers American Academy Of Ophthalmology American Academy of Pediatrics Banner Poison Center CBS News CNN News California Drug Task Force FDA Indiana Poison Center Mayo Clinic Merion Township Police Department National Drug Intelligence National Institute of Health North Texas Poison Center St. Louis County Drug Task Force Riley Children's Hospital Westfield Police Department
