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During a major outbreak of severe clinical illness in 2013, the novel SC ADB-FUBINACA was identified as the etiologic compound causing over 70 emergent presentations at two local emergency departments (EDs) over less than a two-week period [1,8].
There are multiple possible explanations for this wide range of clinical illness. Variability in dose, adulteration with other illicit drugs, or substitution with other more dangerous drugs all may contribute.
Common Street Names: K2, Spice, AK47, Incense, Fake Weed, Yucatan Fire, Genie, Skunk, Moon Rocks, Zohai, Black MambaWhat is synthetic marijuana (synthetic cannabinoids, K2 or Spice)?
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Treatments
Four patients received either diazepam or lorazepam for agitation. One of these patients also received haloperidol and diphenhydramine in addition to the lorazepam for agitation. Three patients had full resolution of agitation and one patient had partial resolution of symptoms after receiving sedatives. Four patients received ondansetron for nausea. Three patients received at least 1 l of normal saline.
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