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Home / In-Service Training / Training Bulletins /

Irvin Irving, Chief of Police

Volume III, Issue 1

January 2021


IMPAIRING SUBSTANCES

Impairing substances can dramatically alter individual's behavior and actions, and as such, it is important for officers to possess minimal baseline knowledge, in order to make informed decisions when handling a scene. Additionally, possesssion of selected number of substances is a crime, thus being able to positively identify substances as prohibited drugs is crucial in order to sucessfuly prosecute an individual.

In addition, all of these substances alter and impair individual perception of reality and alter and impair their reactions and behavior, making an intoxicated individual in control of a motor vehicle a significant risk to themselves and other motorists.

This Bulletin will teach officers how to identify impairing substances and inform them about their effects on an individual.

Impairing Substances List
Recognising Impairing Substances
CNS Depressants
CNS Stimulants
Hallucinogens
Dissociative Anesthetics
Opioids
Inhalants
Cannabis
Summary of effects of abusive drugs on eye movement and pupil

Impairing Substances List

This section will list the most common substances that you may encounter, provide instructions on how to recognise their effects on an individual and how to test for their presence. However, it is by no means a taxative list.

Drugs can be broken down into several categories, by their effects on the user:

  • Central Nervous System (CNS) Depressants

    • Barbituates

    • Diazepam (brand name Valium)

    • Alprazolam (brand name Xanax)

    • Alcohol

  • CNS Stimulants

    • Cocaine and Crack Cocaine

    • Metamphetamine

  • Hallucinogens

    • Peyote (psychoactive drug Mescaline)

    • Psilocybin (a.k.a. magic mushrooms)

    • LSD

    • MDMA (a.k.a. ecstasy, or "molly")

  • Dissociative Anesthetics

    • PCP (a.k.a. Phencyclidine)

    • Dextromethorphan (drug found in cough syrups)

  • Opioids (a.k.a. Narcotic Analgesics)

    • Heroin

    • Fentanyl

    • Morphine

    • Painkillers

  • Inhalants

    • Anesthetic gases (Nitrous Oxide, a.k.a. NO2)

    • Glue, spray paint

  • Cannabis

    • Marijuana

    • Hashish

Recognising Impairing Substances

This section will list the appearance of the substances listed above, as well as their most common effects on an individual.

CNS Depressants

Appearance of CNS Depressants

  • Barbituates, Diazepam

    • Can be taken orally, rectally, or injected

    • When in a pill form, they take a form of small pills, sometimes with an embossed symbol, or a brand name

    • Can be prescribed as a medication, although it is often abused

  • Alprazolam

    • Taken orally, in the form of a pill

    • Can be prescribed as a medication, although it is often abused

  • Alcohol

    • Taken orally, in the form of a beverage containing a certain percentage of ethanol

    • Can come in many forms, both comercially made and home made, such as beer, wine and distilled spirits

    • Legal to drink and possess, however illegal "behind the wheel"

Effects and Recognition of CNS Depressants

Generic effects:

  • Sleepiness

  • Reduced inhibitions (subject does not react to everything going on around them)

  • Divided attention imparment

  • Slowed reflexes

  • Impaired vision, hand-eye coordination, judgement and concentration

  • Slurred, mumbled, or incoherent speech

  • Amplification of felt emotions and instability

  • Possibly dilated pupils (pupils wide open)

Additional effects of alcohol:

  • Smell

  • Glassy, droopy, watery, and reddened eyes

Testing for CNS Depressants

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • Alcohol may be detected using a so-called breathalyzed, or Portable Breath Test

    • Presence of other depressants may be detected using saliva test kits

  • Presence of listed CNS Depressants (other than alcohol) in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it

  • With a warrant, individual's urine and blood can be tested in laboratory setting for CNS Depressant presence, necessary to secure a criminal conviction

CNS Stimulants

Appearance of CNS Stimulants

  • Cocaine

    • White crystalline substance

    • Injected or inhaled nasally

  • Crack Cocaine

    • Crystalline rocks, might have the appearance of pieces of soap

    • Smoked in a glass pipe

  • Metamphetamine

    • White or blue powder, crystals, shards, or rock resembling a block of paraffin

    • Injected or smoked in a glass pipe

Effects and Recognition of CNS Stimulants

  • Anxiety

  • Euphoria

  • Eyelid and leg tremors

  • Restlessness

  • Increased pulse, blood pressure, body temperature and respiratory rate

  • Rapid, irrational and slurred speech

  • Creates euphoric effect

  • Enhances the body's "fight or flight" response

  • Constricted pupils

Testing for CNS Stimulants

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • Cocaine, crack cocaine and methamphetamine can be detected using a saliva test

  • Presence of cocaine, crack cocaine and methamphetamine in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Mayer's reagent for cocaine and other alkaloids, Mandelin reagent for methamphetamine)

  • With a warrant, individual's urine and blood can be tested in laboratory setting for CNS Depressant presence, necessary to secure a criminal conviction

Hallucinogens

Appearance of Hallucinogens

  • Peyote (psychoactive drug Mescaline)

    • Plant itself is a small, round, spineless cactus

    • Pieces of it are often dried to make green, disc-shaped buttons that are chewed or soaked in water to drink

    • May be also ground into powder and poured into capsules

  • Psilocybin (a.k.a. magic mushrooms)

    • This substance is found in fungi of the genus Psilocybe, which are small, brown mushrooms, with a typical "little brown mushroom" morphology

    • These mushrooms are grown, picked and then dried before oral consumption

  • LSD

    • In pure form, it is clear or white in color, has no smell, and is crystalline

    • In consumer form, it is most often sold on blotter paper and less commonly as tablets or gelatin squares

    • Consumed orally, usually held under the tongue

  • MDMA

    • Most widely known as ecstasy, which refers to its tablet form, taking the shape of small, round tablets, which are sometimes embossed with letters or symbols, which are ingested

    • Alternatively, it may be sold in pure crystalline powder form of MDMA, usually in capsules

    • Consumed orally

Effects and Recognition of Hallucinogens

Generic effects:

  • Dilated pupils

  • Dazed appearance

  • Statements suggesting hallucinations

  • Perspiration

  • Disorientation

  • Altered perception of reality

  • Nausea

  • Altered heart rate

Additional effects of Mescaline, and Psilocybin:

  • Open or closed eye hallucinations

  • Altered and/or distorted perception of reality

  • Production of intense emotions, both positive and negative (referred to coloquially as a "bad trip")

  • Warped perception of time

  • Generally, users tend to be passive, however, this may change in case of a "bad trip"

Additional effects of MDMA:

  • Euphoria

  • Increased emotionality

  • Increased self confidence and sociability

  • Blurred vision

  • Sweating

Testing for Hallucinogens

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • MDMA and Mescaline can be detected using a saliva test

  • Presence of LSD, MDMA, Mescaline, Psilocybin in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Ehrlich reagent for LSD in form of pills, powders and blotter paper, Mollies reagent for MDMA in pills)

  • With a warrant, individual's urine and blood can be tested in laboratory setting for presence of MDMA and Mescaline, necessary to secure a criminal conviction

    •  LSD can be detected only from a blood sample

Dissociative Anesthetics

Appearance of Dissociative Anesthetics

  • PCP 

    • Available in a variety of tablets, capsules, and colored crystalline powders, or in a liquid form (which is a PCP base dissolved in a solvent)

    • PCP may be snorted, injected or smoked by dipping marijuana or tobacco cigarettes in PCP, drying them and then smoking them

  • Dextromethorphan

    • Drug found in cough syrups

    • Produces effects similar to PCP in high doses (drinking the whole bottle)

Effects and Recognition of Dissociative Anesthetics

  • Numbness of the extremities

  • Slurred speech

  • Loss of coordination

  • High blood pressure and respiratory rate

  • Sweating

  • Excited delirium

  • Unpredictable behavior

  • Warped perception of reality

  • Unexpected strength

  • Horizontal and vertical nystagmus

Testing for Dissociative Anesthetics

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • PCP can be detected using a saliva test

  • Presence of PCP in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it

  • With a warrant, individual's urine and blood can be tested in laboratory setting for presence of PCP, necessary to secure a criminal conviction

Opioids

Appearance of Opioids

  • Heroin

    • White to dark-brown powder, or tar-like substance

    • Can be injected, smoked, or inhaled

  • Fentanyl

    • White, crystaline powder

    • CAUTION! Lethal doses of fentanyl are measured in micrograms, always wear gloves!

  • Morphine

    • Clear liquid

    • Injected

  • Painkillers (analgesics)

    • Take form or many prescription painkillers, which are often abused

Effects and Recognition of Opioids

  • Constricted pupils

  • Slowed reflexes

  • Dry mouth

  • Itching

  • Euphoria, particularly shortly after heroin administration, which is often followed by drowsiness

  • Slow, raspy speech


CAUTION! The effects of an opiod overdose (decreased breathing) can be countered using nasal spray containing naloxone, known also by its brand name, Narcan.

Testing for Opioids

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • Heroin and other opioates can be detected using a saliva test

  • Presence of heroin and fentanyl in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it (Mecke Reagent for powder heroin, fentanyl reagent for pills, powders and liquids)

  • With a warrant, individual's urine can be tested in laboratory setting for presence of heroin and other opiates, necessary to secure a criminal conviction

Inhalants

Appearance of Inhalants

  • Inhalants are typically powerful solvents, glues, spray paint, or anesthetic gasses

  • As such, most would bear appearance of the substance being in its original packaging, or a smaller amount of it deposited in a plastic container

  • Anesthetic gasses, such as Nitrous Oxide can be contained in small steel cylinders


  • Note, simple possession of most substances abused as inhalants is not illegal.

Effects and Recognition of Inhalants

  • Odor of the inhaled substance

  • Dizzines, numbness

  • Traces of the substance around face and nose

  • Bloodshot, watery eyes

  • Distorted perception of time and distance

  • Light headedness, nausea

  • Slow, thick, slurred speech

  • Flushed face

Additional effects of Nitrous Oxide:

  • Euphoria

  • Numbness to pain

  • Altered perception of reality

Testing for Inhalants

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

  • As there is a wide variety of inhalants, most, if not all, legal to possess, determining the substance should be generally possible without a specialized test kit

    • However, metabolism testing can be impractical, due to wide variety of substances

Cannabis

Appearance of Cannabis

  • Marijuana (Psychoactive drug THC)

    • In its plant form, it is a green, tall plant, with spiky leaves

    • In dried form, it takes the form of green, dried, ground plant matter

    • Used by smoking, vaporizing, within food, or as an extract

    • Legal to use and possess, however illegal "behind the wheel"

  • Hashish (Psychoactive drug THC)

    • Extracted plant resin, typically in the form of dark green, brown or black pressed matter

    • Consumed by smoking in a pipe, bong, vaporizer, or a joint, sometimes via oral ingestion

Effects and Recognition of Cannabis

  • Dilated pupils

  • Body tremors

  • Increased appetite

  • Odor

  • Relaxed Inhibition

  • Euphoric feeling

  • Lack of motivation

  • Impaired coordination, concentration and memory

Testing for Cannabis

  • Probable cause to believe such substances are present in an individual's metabolism can be established by the administration of a Standardised Field Sobriety Test (SFST), combined with officer's observations

    • THC (the psychoactive constituent in all cannabis derivatives) can be detected using a saliva test

  • Presence of THC in a substance can be determined using portable test kits, where a reagent gains a certain color when a tested for substance is introduced into it. (Duquenois-Levine reagent)

  • With a warrant, individual's urine can be tested in laboratory setting for presence of THC, necessary to secure a criminal conviction

Summary of effects of abusive drugs on eye movement and pupil

CNS depressants

  • Pupils: NORMAL

  • Reaction to light: SLOW

  • Horizontal gaze nystagmus: PRESENT

  • Vertical gaze nystagmus: POSSIBLY PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT

CNS stimulants

  • Pupils: DILATED

  • Reaction to light: SLOW

  • Horizontal gaze nystagmus: NOT PRESENT

  • Vertical gaze nystagmus: NOT PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): NOT PRESENT

Hallucinogens

  • Pupils: DILATED

  • Reaction to light: NORMAL

  • Horizontal gaze nystagmus: NOT PRESENT

  • Vertical gaze nystagmus: NOT PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): NOT PRESENT

Dissociative Anesthetics

  • Pupils: NORMAL

  • Reaction to light: NORMAL

  • Horizontal gaze nystagmus: PRESENT

  • Vertical gaze nystagmus: USUALLY PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT

Opioids

  • Pupils: CONSTRICTED

  • Reaction to light: SLOW/NONE

  • Horizontal gaze nystagmus: NOT PRESENT

  • Vertical gaze nystagmus: NOT PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other):NOT PRESENT

Cannabis

  • Pupils: DILATED/NORMAL

  • Reaction to light: NORMAL

  • Horizontal gaze nystagmus: NOT PRESENT

  • Vertical gaze nystagmus: NOT PRESENT

  • Lack of ocular convergence (simultaneous inward movement of both eyes toward each other): PRESENT

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