Dude, What's Going On?

Disclosures

• Speaking Fees: Tilray, Maricann
• Consulting: Shoppers Drug Mart, MD Briefcase
• Clinician with Cannsolve Clinic

Mitigation of Bias

• generic drug names
• no licensed producers
• no insider trading info

Objectives:

• Review the social and medical impact of cannabis legalization
• Discuss evidence regarding diagnosis/testing of cannabis induced impairment

Update on:

• Road Safety
• Health Impacts
• CHS
• Vaping Related Illness
• Mythbusting

Untitled Slide

• Emergency Physician, Royal Inland Hospital
• Site Scholar, Family Medicine Residency Program
• Associate Professor, UBC

Cannageddon?

Road Safety

Cannabis Impairment Arrests

• BC 0
• AB 8
• QC 32
• Ontario 100

Draeger 5000

THC >2 ng/mL
THC >5 ng/mL

Hospitalizations

Addiction 114(9):1616-26

Lollipop STEMI

Edibles

Cannabis Hyperemesis

Vaping&Respiratory Illness

Cannabis Myths

Fentanyl in Cannabis

MVAs and 420

Vaping and Popcorn Lung

Indica/Sativa

BCMJ 2019;61:14-19

Summary

• More "Meh" than Cannageddon
• Roadside breathalyzers are a poor way to test for cannabis impairment
• Cannabis impairment in driving is relatively mild.
• Most morbidity comes from unregulated products (edibles, vaping)
• Aprepitant for CHS ?

The persistence of myths suggests much more research and education is needed.

Thank you
Questions?
@travels2little