The resident took doctor-to-be Ogilvie (Lucas Iverson) along for the ride when she met a young woman named Kiki (Lorna Lominac), whom the ER doc treats off the books in the park across the street as part of the hospital's street medicine team.
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According to the National Institute on Drug Abuse, xylazine is a sedative used in veterinary medicine. As such, it's known by the street name "tranq." It often ends up mixed in with other drugs, like fentanyl, without the user's knowledge, but many people also use it on its own—though it is not approved for use in humans.
Why Does Xylazine Cause Wounds?
According to the American Family Physician Journal, these abscesses and ulcers are believed to be the result of vasoconstriction caused by the drug through frequent use. In other words, the blood vessels constrict, restricting blood flow and decreasing the perfusion of oxygen to the surrounding tissues. Over time, this leads to open wounds and, eventually, necrosis—or death—of the skin in the affected area, because the lack of adequate oxygenation also impairs the body's ability to heal. As McKay explained to the medical student, “xylazine wounds can show up anywhere”—not just at the site of injection, since the drug can also be ingested, snorted, or smoked.
How Do You Treat Xylazine Wounds?
Depending on the extent of the damage and risk for infection, patients may also need antibiotics.
In Kiki's case, McKay skipped over the antibiotics but made sure to provide the patient with plenty of replacement supplies so she could clean and redress the wound each day.
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