S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP

The Curbsiders Addiction Medicine Podcast

Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | [e-mail] | Free CME!

Credits

• Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guests: Raagini Jawa, MD MPH and Tehya Johnson, NP

Show Segments

• Intro, disclaimer, guest bios - 01:42
• Guest one-liners - 03:22
• Case from Kashlak - 7:56
• Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38
• Xylazine test strips and other harm reduction strategies - 15:48
• Natural history of xylazine wounds - 19:15
• Creating a welcoming wound care environment - 21:05
• Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18
• Steps for wound care - 33:27
• Frequency of wound care - 46:16
• Pain control in the setting of dressing changes - 51:01
• Route switching, harm reduction around injecting at the site of the wound - 52:20
• When to refer to other wound care specialists/plastic surgery - 55:00
• Take home points - 57:05
• Outro - 1:00:17