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Emergency Medicine News

ISSN 1054-0725

7 papers in the library · 6 citations · publishing 2003-2025

Papers

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Of Hyperthermia, Rodenticides, and Ibogaine Toxicity

Emergency Medicine News 2025 Leon Gussow

The 2024 North American Conference of Clinical Toxicology and the annual American College of Emergency Physicians Scientific Assembly yielded several thought-provoking ideas for emergency physicians, some that you should be employing and another, like this first one, that is not ready for the big time in the ED. Should the TACO Technique be Used to Treat Drug-induced Hyperthermia in the...

Fear and Loathing about Ibogaine

Emergency Medicine News June 1, 2024 Leon Gussow

Figure: ibogaine, opioids, PTSD, brain injury psychoactive alkaloid, Tabernanthe Iboga, nausea, ataxia, cardiotoxicity, methadone detoxification, alcoholism, withdrawal, tachycardia, torsades des pointes, potassium channels, QTc, QT syndrome, hypokalemia, atherosclerosis, cardiomegaly, hypomagnesemiaFigure“Not much has been written about The Ibogaine Effect as a serious factor in the...

Toxicology Rounds

Emergency Medicine News September 1, 2015 Leon Gussow

Figure: Phenethylamine, top left; 2C-I, top right; and 25I-NBOMe, below.FigureAt least 19 young people died between March 2012 and November 2013 from the so-called N-BOMB drugs, synthetic hallucinogens that can be deadlier than LSD, according to the U.S. Drug Enforcement Administration. Chemist Alexander Shulgin developed a series of hallucinogenic 2C drugs in the early 1970s by adding...

Special Report: Coming Soon to an ED Near You: Bromo-Dragonfly (Not an Insect), K2 (Not a Mountain), and Venus (Not the Planet)

Emergency Medicine News July 1, 2010 Leon Gussow 6 citations

Salvia divinorumA quarter of a century ago, it was relatively easy to stay current on drugs of abuse. Things rarely changed. When I started practicing in 1985, the major drugs available on the street had been the same for many years: Opiates, cocaine, and phencyclidine (PCP) being the mainstays. These had all been around for decades if not centuries, and they had all been used in medical...

Of Mycelia and Men

Emergency Medicine News June 1, 2009 Leon Gussow

Quick: Name the person who started the psychedelic movement of the 1960s and 1970s. Most people old enough to understand the question or who read Tom Wolfe's The Electric Kool-Aid Acid Test would probably name Ken Kesey, Wavy Gravy, or perhaps Timothy Leary. But the surprising answer is that the concept of deliberately ingesting plants or chemicals to induce hallucinations was introduced into...

Dried Toad Venom ‘Aphrodisiacs’ Lead to Fatal Poisonings

Emergency Medicine News August 1, 2008 Leon Gussow

It wasn't the first time a New York City hospital saw a fatal case of aphrodisiac toxicity. In May, the New York Times reported that a 35-year-old man died after ingesting an illegal aphrodisiac sold under the street name “Stone” (or “Piedra,” Spanish for “stone”). He presented to a local emergency department 12 hours after ingestion complaining of abdominal pain. Evaluation revealed...

Designer Hallucinogens

Emergency Medicine News December 1, 2003 Leon Gussow

A 25-year-old man was brought to the emergency department from a late-night dance club. A friend reported that the patient commonly used designer drugs that he purchased over the Internet. While at the club, he started to vomit and experience visual hallucinations. He had no previous medical history and took no prescription medications. On searching the patient's clothing, medical staff found...