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By M.D. Peter G. Bourne

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Additional resources for Acute Drug Abuse Emergencies. A Treatment Manual

Sample text

Etiologic Factors 33 ^5 35 35 36 37 38 39 39 39 I. I n t r o d u c t i o n In t h e past t h e t r e a t m e n t of a c u t e h e r o i n t o x i c i t y ( m o r e c o m m o n l y k n o w n as heroin overdose or j u s t O D ) , was mainly confined t o t h e emergency r o o m s of large city hospitals. As heroin use has spread, however, from t h e inner city t o s u b u r b a n , small t o w n , and even rural areas, m o r e and m o r e physicians m a y e n c o u n t e r t h e p h e n o m e n o n in outlying hospitals, clinics, and occasionally in their offices.

H. Ann Intern Med, 77:29, 1972. E. Personal communication, 1972. , and Rho, Y. Int J Addict, 2:53, 1967. D. Arch Intern Med, 122:122,1968. Neurology, 21:453,1971. X4M^, 206:1255, 1968. ; and Ramsey, W. Clin Res, 18:695,1970. AmerJMed, 45:555,1968. THE TREATMENT OF ACUTE HEROIN TOXICITY H e r b e r t D . Kleber I. Introduction II. Diagnosis III. General Management A. Immediate Steps B. Maintenance of Respiration C. Maintenance of Circulation D. Narcotic Antagonists E. Other Measures IV. FollowupCare V.

T o g e t h e r , these will c o n s t i t u t e t h e data base for future decision-making a n d t h e formulation of a t r e a t m e n t plan. Following this i n f o r m a t i o n gathering stage, o n e moves t o active t r e a t m e n t , which is divided i n t o supportive a n d specific categories. a. Supportive. v. line inserted a n d t h e n be given a bolus of 5 0 cc of 5 0 % glucose t o eliminate a n y METHOD OF MARK H. GREENE A N D ROBERT L. DUPONT 27 possibility t h a t h y p o g l y c e m i a is playing a s y m p t o m a t i c role.

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