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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