Área de Gobierno de Seguridad y Movilidad Subdirección General SAMUR-Protección Civil The Fifth Mediterranean Emergency Medicine Congress (MEMC V) · Valencia 14 - 17 Septiembre 2009 CLUB DRUGS: AN INCREASING TENDENCY 6% 94% male female Caballos Villar, David SAMUR-PC, Madrid, Spain. INTRODUCTION INTRODUCTION Club Club drugs drugs consumption consumption and and abuse are abuse are increasing increasing according according to to the the 2007 2007 Spanish Spanish National National Drugs Drugs Plan Plan report report . . GHB (Gamma GHB (Gamma - - hydroxyubutyrate hydroxyubutyrate ) ) or or “ “ liquid liquid ecstasi ecstasi ” ” is is responsible for coma in a high rate of patients. The responsible for coma in a high rate of patients. The purpose of this study purpose of this study is to describe is to describe this emerging health this emerging health problem in order to know the patient profile problem in order to know the patient profile METHODS METHODS Through a descriptive transversal retrospective Through a descriptive transversal retrospective study we have analyzed club drugs intoxicated study we have analyzed club drugs intoxicated patients in a critical situation ( patients in a critical situation ( orotracheal orotracheal intubation needed) from 2001 to 2007 in the city of intubation needed) from 2001 to 2007 in the city of Madrid. Madrid. RESULTS • 48 patients presented • 45 male, 3 female / average age 29 years • Glasgow score (85% below 9) • Vital signs (29% bradycardia; 29% bradypnea; 33% hypoxia; 70% normal blood pressure). • Orotracheal intubation (100%) • Blood test laboratory results (52% acidosis; 62% high lactic acid) RESULTS • 48 patients presented • 45 male, 3 female / average age 29 years • Glasgow score (85% below 9) • Vital signs (29% bradycardia; 29% bradypnea; 33% hypoxia; 70% normal blood pressure). • Orotracheal intubation (100%) • Blood test laboratory results (52% acidosis; 62% high lactic acid) CONCLUSIONS It's necessary to describe this emerging health problem in order to know the patient profile as well as the clinical effects caused by GHB, thus improving the medical treatment of these patients mainly in the first assistance in pre-hospital emergency services. CASES SAMUR-PC 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 2001 2002 2003 2004 2005 2006 2007 2008

CLUB DRUGS: AN INCREASING TENDENCY · Área de Gobierno de Seguridad y Movilidad Subdirección General SAMUR-Protección Civil The Fifth Mediterranean Emergency Medicine Congress

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Área de Gobierno de Seguridad y MovilidadSubdirección General SAMUR-Protección Civil

The Fifth Mediterranean Emergency Medicine Congress (MEMC V) · Valencia 14 - 17 Septiembre 2009

CLUB DRUGS: AN INCREASING TENDENCY

94%

malefemale

Caballos Villar, David SAMUR-PC, Madrid, Spain.

INTRODUCTIONINTRODUCTION

Club Club drugsdrugs consumptionconsumption andand abuse are abuse are increasingincreasingaccordingaccording toto thethe 2007 2007 SpanishSpanish NationalNational DrugsDrugs Plan Plan reportreport..GHB (GammaGHB (Gamma--hydroxyubutyratehydroxyubutyrate) ) oror ““liquidliquid ecstasiecstasi”” is is responsible for coma in a high rate of patients. The responsible for coma in a high rate of patients. The purpose of this studypurpose of this study is to describe is to describe this emerging health this emerging health problem in order to know the patient profile problem in order to know the patient profile

METHODSMETHODS

Through a descriptive transversal retrospective Through a descriptive transversal retrospective study we have analyzed club drugs intoxicated study we have analyzed club drugs intoxicated patients in a critical situation (patients in a critical situation (orotrachealorotrachealintubation needed) from 2001 to 2007 in the city of intubation needed) from 2001 to 2007 in the city of Madrid.Madrid.

RESULTS

• 48 patients presented • 45 male, 3 female / average age 29 years • Glasgow score (85% below 9)• Vital signs (29% bradycardia; 29% bradypnea; 33% hypoxia; 70% normal blood pressure). • Orotracheal intubation (100%)• Blood test laboratory results (52% acidosis; 62% high lactic acid)

RESULTS

CONCLUSIONSIt's necessary to describe this emerging health problem in order to know the patient profile as well as the clinical effects caused by GHB, thus improving the medical treatment of these patients mainly in the first assistance in pre-hospital emergency services.

CASES SAMUR-PC

0123456789

101112131415

2001 2002 2003 2004 2005 2006 2007 2008