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nightclub

night club medicine

introduction

  • in many cities, the dangers of night clubbing - both traumatic from accidental or criminal events, burns from major fires and pharmacological from the increasing use of both old and new drugs - is becoming a major issue for communities and emergency departments and fuelling the need for development of “night club medicine” to address the rapidly changing and increasing types of emergency presentations.
  • the prime concerns have always been, and continue to be:
    • alcohol
    • cocaine
    • crime
    • conflagration
  • these have been compounded by the ever increasing variety and complexity of novel substances, most of which have little known regarding their risks and toxicologic management
  • novel drugs abused in night clubs can be grouped into:
    • stimulants:
      • piperazines
      • cathinones
      • synthetic cocaine
      • pipradols
    • depressants:
      • GHB, GBL
      • 1,4-butanediol
      • novel opiods and opioid metabolites
    • hallucinogenics:
      • glaucine
      • TFMPP
      • tryptamines
      • “spice”
      • methoxetamine
        • Acute toxicity is similar to ketamine ( K hole) but in addition:
          • Stimulant features - hypertension, tachycardia
          • agitation
          • cerebellar features
nightclub.txt · Last modified: 2012/06/28 00:16 (external edit)