Hey, folks, Scott. I'm Wingard here, and this is an M-Crit-Wee. Now, the topic of today's

we might seem a divergence from our normal episodes. We're going to talk about opioid harm

reduction and opioid adulterance. And you're like, that's not resuscitation or critical care.

Well, with the new crop of adulterants like metatomedeen, it actually is critical care. These

patients will be coming to the

recess area of your ED, and they very well might need ICU admission in many cases. So

this is directly relevant. But I still, even if they weren't sometimes sick patients, I still

think this is an important topic. So this is the first of three

episodes on opioid adulterance. And so now this is a diversion from the normal stuff. This is not

the path I'm going. I'm not becoming like my buddy Rubin Strayer and just moving to opioid harm

reduction. Don't worry. It's all going to be resussing critical care after this. But this is an

important topic that I wanted to delve into. So this first episode is with Courtney Doherty,

who is a harm reduction specialist and an FTIR technician. That's Fourier Transform infrared

spectroscopy. It's a way of analyzing drug samples to see what adulterants are in it, what actually is the

makeup of that drug that you think is heroin or fentanyl, what actually it's been cut with.

And she has insights into the drug system, into all sorts of pieces that you'd only get from

someone who is in the street talking to the people

who are actually using. And she has a harrowing history detailed on her TikTok channels. It's really

an amazing story. We're not going to get into that stuff on this episode. What we're going to talk

about primarily is the nitises of drug adulteration

why it happens, what current adulterants we're seeing in the opioid supply, and then a little bit

of discussion on harm reduction. So it's a super fun interview. Check out her TikTok channel.

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