CAL AMSTERDAM – Weed users nearly 25% more likely to need emergency care and hospitalization “Our study demonstrates that the use of this substance is associated with serious negative outcomes, specifically, ED emergency department visits and hospitalizations” 1-800-662-HELP

(CNN) Using recreational marijuana is associated with a higher risk of emergency room care and being hospitalized for any reason, a new study has found.

“Cannabis use is not as benign and safe as some might think,” said study author Nicholas Vozoris, assistant professor and clinician investigator in the division of respirology at the department of medicine at the University of Toronto.

“Our study demonstrates that the use of this substance is associated with serious negative outcomes, specifically, ED (emergency department) visits and hospitalizations,” Vozoris said in an email.

Significant risk of hospitalization.

The study, published Monday in the journal BMJ Open Respiratory Research, looked at national health records data for over 30,000 Ontario, Canada, residents between the ages of 12 and 65 over a six-year period.

When compared with people who did not use marijuana, cannabis users were 22% more likely to visit an emergency department or be hospitalized, the study revealed.

Respiratory problems from smoking weed was the second leading reason users seek emergency care, the study found.

The finding held true even after adjusting the analysis for over 30 other confounding factors, including other illicit drug use, alcohol use and tobacco smoking.

“Physical bodily injury was the leading cause of emergency department visits and hospitalizations among the cannabis users, with respiratory reasons coming in a close second,” Vozoris said.

Marijuana smokers had higher blood and urine levels of several smoke-related toxins such as naphthalene, acrylamide and acrylonitrile than nonsmokers, a 2021 study found. Naphthalene is associated with anemia, liver and neurological damage, while acrylamide and acrylonitrile have been associated with cancer and other health issues.

Another study done last year found teenagers were about twice as likely to report “wheezing or whistling” in the chest after vaping marijuana than after smoking cigarettes or using e-cigarettes.

Growing body of research.

A number of studies have shown an association between marijuana use and injury, both physical and mental.

Marijuana may make sleep worse, especially for regular users, study finds

Heavy use of marijuana by teens and young adults with mood disorders — such as depression and bipolar disorder — has been linked to an increased risk of self-harm, suicide attempts and death, according to a 2021 study.

Another 2021 study found habitual users of cannabis, including teenagers, are increasingly showing up in emergency rooms complaining of severe intestinal distress that’s known as “cannabis hyperemesis syndrome,” or CHS.

The condition causes nausea, severe abdominal pain and prolonged vomiting “which can go on for hours,” Dr. Sam Wang, a pediatric emergency medicine specialist and toxicologist at Children’s Hospital Colorado, told CNN in a prior interview.

A review published earlier this year looked at studies on over 43,000 people and found a negative impact of tetrahydrocannabinol or THC, the main psychoactive compound in cannabis, on the brain’s higher levels of thinking.

For youth, this impact may “consequently lead to reduced educational attainment, and, in adults, to poor work performance and dangerous driving. These consequences may be worse in regular and heavy users,” coauthor Dr. Alexandre Dumais, associate clinical professor of psychiatry at the University of Montreal told CNN in a prior interview.

At a time when “health care systems are already stretched thin around the world following the Covid pandemic and with difficult economic times … cannabis use is on the rise around the world,” Vozoris said.

“Our study results should set off ‘alarm bells’ in the minds of the public, health care professionals, and political leaders,” he said in his email.

https://www.cnn.com/2022/06/27/health/marijuana-emergencies-hospitalization-study-wellness/index.html

Positive Drug Tests Among U.S. Workers Hit Two-Decade High – And while it can still be tough to fill open roles, Link Staffing and the employers it works with still view marijuana use as a deal breaker.

Fewer employers tested applicants for marijuana last year than in 2020 as companies grappled with nationwide labor shortages

The percentage of working Americans testing positive for drugs hit a two-decade high last year, driven by an increase in positive marijuana tests, as businesses might have loosened screening policies amid nationwide labor shortages.

Of the more than six million general workforce urine tests that Quest Diagnostics Inc., one of the country’s largest drug-testing laboratories, screened for marijuana last year, 3.9% came back positive, an increase of more than 8% from 2020, according to Quest’s annual drug-testing index.

That figure is up 50% since 2017. Since then, the number of states that legalized marijuana for recreational use grew to 18 from eight, plus the District of Columbia.

Despite the increase in positivity last year, fewer companies tested their employees for THC, the substance in marijuana primarily responsible for its effects, than in recent years, said Barry Sample, Quest’s senior science consultant.

The shifting legal backdrop and changing cultural attitudes have prompted some employers to stop testing for marijuana while companies in some states are barred from factoring the test results into hiring decisions, according to Dr. Sample. And those trends accelerated last year amid the recent shortage of workers, especially in states where recreational marijuana is legal, Dr. Sample added.

“We’ve been seeing year-over-year declines in those recreational-use states, but by far the largest drop we’ve ever seen was in 2021,” he said about the number of drug tests that screened for THC.

Cannabis companies in the U.S. lack access to banking and other financial services because the drug is federally illegal. That could change through new legislation or thanks to broader legalization efforts backed by the Democratically-controlled Senate. Photo Illustration: Laura Kammermann
The percentage of specimens tested for THC declined 6.7% nationwide in 2021 from 2020, while that figure fell by 10.3% in states where recreational marijuana is legal, according to Quest’s data.

“We certainly heard from some of our employer customers that they were having difficulty finding qualified workers to pass the drug test,” Dr. Sample said of pre-employment tests for THC, especially in states where use of the drug is legal.

Overall, the proportion of U.S. workers who tested positive for the various drugs Quest screened for in 2021 rose to 4.6%, the highest level since 2001, according to Quest, which analyzed nearly nine million overall urine tests last year on behalf of employers.

That percentage is more than 31% higher than the low of 3.5% a decade ago, in the early days of a resurgent heroin epidemic in the U.S.

In Michigan, where recreational marijuana was legalized in 2018, many employers didn’t loosen their requirements on pre-employment drug tests for a few years, according to Tammy Turner, co-owner of Kapstone Employment Services, a Detroit-based staffing agency.

But during the pandemic and the related labor shortages, Kapstone, which works mostly with manufacturers that supply the Big Three car makers, encouraged regional employers to loosen their THC-screening policies for many positions.

“So many of our clients were adamant, in pre-Covid, that they would not accept anyone that could not pass a drug test, even if it was THC,” Ms. Turner said. “We had to encourage some of them to reassess their policy, and they did, and we were able to fill many of those jobs as a result.”

For certain positions, such as those that involve heavy machinery, Kapstone still screens applicants for THC and other drugs, as required by the federal government, said Kerry Buffington, co-owner of the company.

Ms. Buffington and Ms. Turner said they don’t see any of the companies they work with reverting to their pre-pandemic hiring standards even if the labor shortage eases.

Marijuana use has become so casual among some young workers that Ms. Turner said some potential workers have shown up to her office smelling like the drug, and one worker who was placed by Kapstone got fired after using a vape pen in the workplace. The firm has had to counsel some workers on what is appropriate at work, Ms. Turner added.

In the hospitality industry, many employers had already stopped screening potential employees for drugs, including marijuana, before the pandemic, according to one representative for a hotel management company with operations across the country, including in Georgia, Minnesota and Colorado.

The representative said their company along with several of their industry peers stopped conducting pre-employment drug tests in the past five years because of the associated expenses and evolving legal landscape.

Chris Layden, senior vice president at staffing firm ManpowerGroup, said the elimination of marijuana screening is one of the most common ways companies are seeking to expand their pool of eligible workers. ManpowerGroup estimated that drug testing eliminates about 5% of candidates.

ManpowerGroup is seeing companies across nearly all industries, except for financial services and federally regulated businesses, eliminate marijuana testing requirements, Mr. Layden said.

Michelle Bearden, chief risk and operating officer for Houston-based staffing and recruiting firm Link Staffing Services Inc., said she has yet to see a strong reason why Link Staffing should move to loosen pre-employment marijuana screenings before the federal government does. She acknowledged the job market has been tight during the pandemic, but said she doesn’t think nixing THC screenings is a good solution.

“[Marijuana] is still on the federal list of prohibited substances, and that is what our policies are driven by at this point,” she said. “If I see that there is an overwhelming reason or cause for us to change ahead of that, we will.”

In Texas, Link Staffing, which mostly hires for the manufacturing and distribution sectors in the Dallas and Houston areas, has made some concessions to fill open roles amid the labor shortage, including by easing background-check requirements, Ms. Bearden said.

And while it can still be tough to fill open roles, Link Staffing and the employers it works with still view marijuana use as a deal breaker.

“We employ people in safety-sensitive jobs, and I think your employers that operate workplaces with high safety concerns—it may still be part of what they view as a hazard in the workplace, for people to be under the influence of anything,” Ms. Bearden said.

Write to Will Feuer at [email protected]

Copyright ©2022 Dow Jones & Company, Inc. All Rights Reserved.

Appeared in the March 30, 2022, print edition as ‘Positive Drug Tests Hit Two-Decade High.’

https://www.wsj.com/articles/positive-drug-tests-among-u-s-workers-hit-two-decade-high-11648603800

Big Helicopter Small Landing Zone – Most patients who were killed in an Air Ambulance or Rescue Crash would have gone on to “survive” their injuries if they had been “driven” to medical care – Unacceptable Risk: The Troubling Medical Helicopter Safety Record

AZUSA, Calif. (KABC) — Authorities are investigating after a Los Angeles County Sheriff’s helicopter crashed in the Angeles National Forest north of Azusa Saturday.

The incident happened near Highway 39 and East Fork Road shortly before 5 p.m., according to officials.

Officials initially said five people were aboard the aircraft at the time of the crash, but L.A. Sheriff Alex Villanueva later confirmed that a total of six people were aboard. All were taken to Pomona Valley Hospital Medical Center.

Those aboard included a pilot and co-pilot, two paramedics, one crew chief, and a doctor from UCLA on a ride-along, Villanueva said. All are expected to survive, according to officials.

One person suffered critical injuries, two suffered moderate injuries, and another two suffered minor injuries, but all are currently in stable condition, officials said.

“They’re pretty banged up, some of them, and I’ll leave it at there’s some fractures, some broken ribs, and some things of that nature,” Villanueva said. “But thankfully nothing that is life-threatening at this time, and they’re in good hands here.”

https://abc7.com/azusa-aircraft-crash-angeles-national-forest/11665500/

Unacceptable Risk: The Troubling Medical Helicopter Safety Record

When the helicopter landed in his yard, Larry Strittmatter didn’t think about the cost. His wife Dana had accidentally burned her leg with boiling water. Instead of driving her to one of six hospitals within 15 miles of their house near Fort Worth, Texas, paramedics called a helicopter to fly Dana to the Parkland Hospital Burn Center in Dallas.

Shortly after Larry arrived, the doctors gave his wife a bandage, a prescription for Tylenol with codeine and a swift escort to the lobby. The hospital refused to admit her for such minor injuries, leaving the Strittmatters with a $17,000 flight bill. “The doctors said they were shocked and dismayed when they saw a helicopter landing,” Strittmatter says. They had been in touch with EMTs at the scene, and after hearing Dana’s injuries described had advised that she should be transported by ground ambulance.

In Arizona, 43 percent of patients transported by helicopter to hospital ERs were discharged within 24 hours, suggesting most didn’t need a helicopter at all. In Maryland, the 24-hour discharge rate for patients transported by state police helicopters was 41 percent prior to 2008.

https://www.popularmechanics.com/flight/a5814/medical-helicopter-safety-crashes/

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