• Am J Emerg Med · Dec 2022

    Case Reports

    Recreational drug toxicity with severe hyperthermia: Rapid onsite treatment and clinical course.

    • Srikanth Reddi and Matt S Friedman.
    • Pulmonary and Critical Care Fellow, Division of Pulmonary and Critical Care Physiology and Medicine at Harbor-UCLA Medical Center, Torrance, CA, USA 90509.. Electronic address: sreddi@dhs.lacounty.gov.
    • Am J Emerg Med. 2022 Dec 1; 62: 144.e5144.e8144.e5-144.e8.

    AbstractElectronic dance music festivals have gained notoriety in the critical care and emergency medicine fields due to an alarming incidence of hospitalizations and deaths related to the high prevalence of recreational drug use. Recreational drug use toxicity, in part related to sympathomimetic toxidromes, may cause hyponatremia, seizures, rhabdomyolysis, hyperkalemia, acidosis, coagulopathy, circulatory shock, multi-organ failure, and even death. This wide-ranging syndrome has been referred to as psychostimulant drug-induced toxicity. Rapid onsite diagnosis and treatment, with attention to the A-B-C's of clinical emergencies, is essential to preserve life. We describe a patient presenting with the highest recorded core temperature in a survivor of psychostimulant drug-induced toxicity, and emphasize management principles of this life-threatening and increasingly prevalent condition.Copyright © 2022 Elsevier Inc. All rights reserved.

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