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Posted (edited)

Ok yet another New Improved Way to OD ?

This is new to me anyone have any experience with this ?

http://en.wikipedia.org/wiki/Mephedrone

http://www.wane.com/dpp/news/doctors%3A-bath-salt-overdoses-increasing

How does one treat this besides the standard ABCs ? Benzos ?

cheers

Edited by tniuqs
Posted (edited)

Ok yet another New Improved Way to OD ?

This is new to me anyone have any experience with this ?

http://en.wikipedia.org/wiki/Mephedrone

http://www.wane.com/dpp/news/doctors%3A-bath-salt-overdoses-increasing

How does one treat this besides the standard ABCs ? Benzos ?

cheers

Common out here , pretty much the same crowd here that was in the spice craze last year or so. There is no specific antidote for bath Salts like narcan for oopioids or drug specific treatments like Bicarb for TCA's.

That said, supportive care, ABC's and benzos for sedation are the mainstays of treatment.

Also prevention of the "horrible H's of hyperdynamics" (yes, I just made that up....)...Hypoxia, Hyperthermia, and H- Ions (acidosis through hypoventilation and increased muscle activity) will keep you out of trouble, especially if you do restrain them (see numerous threads on excited delirium, positional asphyxia and restraint related deaths for more insight).

Hope this helps.

Edited by croaker260
  • Like 1
  • 3 weeks later...
Posted

We dont see it much here but when I was doing clinicals in the city near by we had quite a few of them. The main treatment for these was care of the ABCs. Depending on LOC, we may do a fluid bolus or give fluids wide open. We always have an IV established and of course the cardiac monitor too.

We don't do Benzos unless we contact medical control. The patients that we have had have not had to be restrained at all. We were able to get them to go with us without a fight.

Posted

has anyone found any credible research regarding this stuff?

all i've found is (query) mephedrone as active ingredient, often poly-pharm OD's (shocking i know :rolleyes2: )... benzos PRN, potentially haldol for psychosis... suppotive care otherwise.

have not seen this stuff up in my neck of the woods... just trying to find stuff out.

tks

N.

Posted

Ok yet another New Improved Way to OD ?

This is new to me anyone have any experience with this ?

http://en.wikipedia.org/wiki/Mephedrone

http://www.wane.com/dpp/news/doctors%3A-bath-salt-overdoses-increasing

How does one treat this besides the standard ABCs ? Benzos ?

cheers

I haven't dealt with it, but we have had a few calls in the area. From my understanding, the mental status is hard to describe. Its like a mellow PCP type of deal. Apparently there are long lasting effects too. All anecdotal though.

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