Diagnostic indicators in the early recognition of severe cocaine intoxication

Emergency Medicine Journal

Volumn 13, Issue 4, 1996, Pages 261-263

  Hassan, T B ^a   Pickett, J A ^a   Durham, S ^a   Barker, P ^a  

^a LEICESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

Cocaine; Diagnostic indicators

Indexed keywords

COCAINE;

ACIDOSIS; ADULT; ARTICLE; CASE REPORT; COLLAPSE; DEATH; DRUG ABSORPTION; DRUG INTOXICATION; EARLY DIAGNOSIS; EMERGENCY WARD; FEMALE; HUMAN; MALE; PATIENT CARE; RESUSCITATION; UNITED KINGDOM;

ACIDOSIS; ADULT; COCAINE; EMERGENCIES; FATAL OUTCOME; FEMALE; HUMANS; MALE; SUBSTANCE-RELATED DISORDERS;

EID: 0030036436     PISSN: 13510622     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.13.4.261     Document Type: Article

References (25)

1. Home Office, United Kingdom. Statistics of drug addicts notified to the Home Office, United Kingdom 1992. Home Office Statistical Bulletin 1993;9:19.
2. Abelson HI, Miller JD. A decade of trends in cocaine use in the household population. Natl Inst Drug Abuse Res Monogr Ser 1985;61:35-49.
3. Cregler LL, Mark H. Medical complications of cocaine abuse. N Engl J Med 1987;315:1495-500.
4. Panacek EA. Cocaine: medical toxicity. In Vincent JL, ed. Yearbook of intensive cars and emergency medicine. New York. Springer-Verlag, 1993:653-62.
5. Cregler LL, Mark H. Relation of acute myocardial infarction to cocaine abuse. Am J Cardial 1985;56:794.
6. Lichtenfeld PJ, Rubin DB, Feldman RS. Subarachnoid haemorrhage precipitated by cocaine snorting. Arch Neurol 1984;41:223-4.
7. Nalbandian H, Sheth N, Dietrich R, Georgiou J. Intestinal ischaemia caused by cocaine ingestion: a report of two cases. Surgery 1985;97:374-5.
8. Adrouny A, Magnusson P. Pneumo-pericardium from cocaine inhalation. N Engl J Med 1985;313:48-9.
9. Jonsson S, O'Meara M, Yound JB. Acute cocaine poisoning: importance of treating seizures and acidosis. Am J Med 1983;75:1061-4.
10. Catravas JD, Waters IW, Walz MA, Davis WM. Acute cocaine intoxication in the conscious dog: pathophysiologic profile of acute lethality. Arch Int Pharmacodyn 1978;235.328-40.
11. Orringer CE, Eustace JC, Wunsch CD, Gardner L. Natural history of lactic acidosis after grand mal seizures. N Engl J Med 1977;297:796-9.
12. Drake TR, Henry T, Marx J, Gabow PA. Severe acid base abnormalities associated with cocaine abuse. J Emerg Med 1990;8:331-4.
13. Kabas JS, Blanchard SM, Matsuyama Y, Long JD, Hoffman GW, Ellinwood EH, et al. Cocaine mediated impairment of cardiac conduction in the dog. A potential mechanism for sudden death after cocaine. J Pharmacol Exp Ther 1990;252:185-91.
14. Stevens DC, Campbell JP, Carter JE, Watson WA. Acid base abnormalities associated with cocaine toxicity in emergency department patients. Clin Taxicol 1994;32:31-9.
15. Mueller PD, Benowitz NL, Olson KR. Cocaine. Emerg Med Clin North Am 1990;8:481-93.
16. Howard RE, Hueter DC, Davis GJ. Acute myocardial infarction following cocaine abuse in a young woman with normal coronary arteries. JAMA 1985;254:95-6.
17. Fraker TD, Temesy-Armos PK, Brewster PS, Wilkerson RD. Mechanism of cocaine induced myocardial depression in dogs. Circulation 1990;81:1012-6.
18. Nanji AA, Filipenko JD. Asystole and ventricular fibrillation associated with cocaine intoxication. Chest 1984;85:132-3.
19. Benchimol A, Bartall H, Desser KB. Accelerated ventricular rhythm and cocaine abuse. Ann Intern Med 1978;88:519-20.
20. McCarron MM, Wood JD. The cocaine 'body packer' syndrome. JAMA 1983;250:1417-20.
21. Roberts JR, Price D, Goldfrank LG, Hartnett L. The bodystuffer syndrome: a clandestine form of drug overdosage. Am J Emerg Med 1986;4:24-7.
22. Aks SE, Vander Hoek TL, Hryhorczuk DO, Negrusz A, Tebbutt I. Cocaine liberation from body packets in an in vitro model. Ann Emerg Med 1992;21:1122-5.
23. Caruna DS, Weinbach B, Georg DL, Gardner LB. Cocaine packet ingestion. Ann Intern Med 1984;100:73-4.
24. Ramrakha P, Barton I. Drug smuggler's delitium. BMJ 1993;306.470-1
25. Tomaszewski CA, Brent J, Wathan J, Wathan J. Cocaine adsorption by activated charcoal in vitro. Vet Hum Toxicol 1990;32:350