Club drugs the prehospital perspective
Download
1 / 20

club drugs the prehospital perspective - PowerPoint PPT Presentation


  • 253 Views
  • Updated On :

Club Drugs The Prehospital Perspective. Steven Katz, M.D., FACEP, EMT-P Associate Medical Director Palm Beach County Fire Rescue President National Paramedic Institute. EMS Case Study. HPI 18 year-old girl returns from late-night rave Sudden loss of consciousness while standing Fall

Related searches for club drugs the prehospital perspective

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'club drugs the prehospital perspective' - Olivia


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Club drugs the prehospital perspective l.jpg

Club DrugsThe Prehospital Perspective

Steven Katz, M.D., FACEP, EMT-P

Associate Medical Director

Palm Beach County Fire Rescue

President

National Paramedic Institute


Ems case study l.jpg
EMS Case Study

HPI

  • 18 year-old girl returns from late-night rave

  • Sudden loss of consciousness while standing

  • Fall

  • Unresponsive


Ems case study3 l.jpg
EMS Case Study

Past Medical History:Unknown

Medications:Unknown

Allergies:None

Social History:smokes when she’s drinking, alcohol on the weekends, no drugs


Ems case study4 l.jpg
EMS Case Study

Vitals

  • Temp 98.8

  • BP 110/70

  • Resp 4 (agonal)

  • Pulse 110 (regular)

  • O2sat 70% on room air

    EKG

  • Sinus tachycardia 110

  • No ischemic changes

  • No ectopy


Ems case study your immediate treatment l.jpg
EMS Case StudyYour immediate treatment?

  • Scene Survey

  • ABCs

  • O2

  • IV

  • History

  • Physical Exam


Ems case study6 l.jpg
EMS Case Study

Physical Exam

General: unresponsive, flaccid, lying in pool of vomit

HEENT: unremarkable, no evidence of trauma

Lungs: agonal respirations

Cardiac: tachycardic, regular

Abdomen: soft, no apparent tenderness

Back: unremarkable

Extremities: no evidence of trauma, no pedal edema

Skin: dry, covered in vomit

Neuro: unresponsive, nonverbal


Ems case study what may have happened l.jpg
EMS Case StudyWhat may have happened?

  • Infection

  • Toxic

  • Metabolic

  • Hypoxemia

  • Neurologic

  • Psychiatric


What happened to our patient l.jpg

Rave party

Returned home 6:30 AM

Drinking

Smoking

GHB

What happened to our patient?


Clinical features of ghb l.jpg
Clinical Features of GHB

  • Euphoria, intoxication, aphrodisiac

  • Respiratory depression

  • Aggression, delirium, coma

  • Pinpoint pupils

  • Vomiting (50%)

  • Seizures

  • Bradycardia

  • Myoclonic jerking movements



Treatment for altered mental status l.jpg
Treatment for Altered Mental Status

  • ABCs

  • Complete vitals (temperature)

  • Cervical spine precautions

  • Scene Survey

  • Continuous monitoring

  • Transport

  • Keep patient safe


Pearls of wisdom ghb l.jpg
Pearls of WisdomGHB

  • Patients may be comatose and may become suddenly alert and oriented.

  • Intubated patients need to be well-secured.


Ecstasy l.jpg
Ecstasy

  • Popular club drug

  • Alterations in colors or sensations of textures, heightened sexual interest

  • Stimulant

    • Hallucinations

    • Decreased appetite

    • Increased heart rate and blood pressure, increased body temperature

    • Teeth grinding

    • Dilated pupils

    • Panic attacks


Methamphetamine l.jpg
Methamphetamine

  • Smoked, injected, or swallowed

  • Initial rush, severe agitation, violent and dangerous behavior

  • Stay awake for days

  • Scene safety is very important


Ketamine l.jpg
Ketamine

  • Special K, K, Vitamin K, Fort Dodge

  • Inhaled, injected, orally, smoked

  • Increases blood pressure, heart rate, muscle tone, salivaton

  • Brain-body dissociation


Rohypnol l.jpg
Rohypnol

  • Roofies, roaches, ropies

  • Fast-acting benzodiazepine

  • Initial “date-rape drug”

    • Significant sedation

    • Amnesia


Slide17 l.jpg
LSD

  • Acid

  • Potent psychactive agent

  • “Blotter paper”

  • “LSD Trip”

  • Increased sympathetic response

    • Dilated pupils

    • Elevations in BP, pulse, temp

    • Seizure

    • Coma


Slide18 l.jpg
PCP

  • Angel dust

  • Hallucinogen

  • CNS stimulation or depression

    • Violent (35%)

    • Agitated (34%)

    • Bizarre behavior (29%)

    • Hypoglycemia (22%)

  • SCENE SAFETY!!


Club drugs summary l.jpg
Club DrugsSummary

  • Scene Safety

  • Airway

  • Be aware for sudden changes

  • Continuosly monitor

  • Be thorough

    • Scene survey

    • History

    • Physical Exam

    • Talk to Bystanders



ad