The Illinois Department of Public Health (IDPH) is reporting the death of a second individual who experienced severe bleeding and reported using synthetic cannabinoids, often called Spice, K2, or fake weed.  To date, IDPH has reports of 56 people, including two deaths, in the Chicago area and in central Illinois who have experienced severe bleeding and reported using synthetic cannabinoids.  All cases have required hospitalization for symptoms such as coughing up blood, blood in the urine, severe bloody nose, and/or bleeding gums.  Nine of these cases have tested positive for brodifacoum, a lethal anticoagulant often used as a rodenticide, or rat poison. Synthetic cannabinoids are human-made, mind-altering chemicals that are sprayed on to dried plant material.  They can be smoked or sold as liquids to be vaporized in e-cigarettes and other devices.  These chemicals are called cannabinoids because they are similar to chemicals found in the marijuana plant.  The health effects from using synthetic cannabinoids can be unpredictable, harmful, and deadly. Synthetic cannabinoids are found across Illinois and the U.S. in convenience stores, gas stations, drug paraphernalia shops, novelty stores, and online. Anyone who has a reaction to synthetic cannabinoids, such as severe bleeding, should call 911 or have someone take them to the emergency department immediately.