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![CMAJ - June 27, 2000](issue-13.gif) ![](../../../images-site/navbar-8space.gif) ![](../../../images-site/nav-linksub.gif)
Raves: a review of the culture, the drugs and the prevention of harm
Box 1: Treatment for toxic ingestinof "ecstasy" (3,4-methylenedioxymethamphetamine [MDMA])
- ABCs: airway-breathing-circulation
- Monitor temperature and treat hyperthermia with cooling blanket, intravenous fluids
- Oral charcoal and sorbitol if ingestion occurred within 30-60 minutes
- Serum chemistries, liver function, complete blood count, creatinine kinase, arterial blood gases
- Foley catheter to prevent urinary retention
- Treat hypertension, tachycardia, hypotension and metabolic acidosis if present
- ICU admission with close monitoring of blood chemistries, hepatic transaminase level and urine output
Source: Adapted from Rochester and Kirchner.46
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