That’s a LOT of VITAMIN A (aka Ativan)!😱

Regram @menes.resuscitation

HR 168, BP 140, paranoid, hyperactive. The stains on “wife-beater” indicated that it had gone a few rounds of if right-side-on/inside-out without ever seeing the inside of a washing machine. “What’d you do bro?” I asked. He quickly looked left, then right at the passing unicorns and chupacabras. “He said he swallowed a rock,” said the medic.
“Of meth??”
“Yeah!!”
“How big??”
It really didn’t matter. When a body-packer(someone who is smuggling wrapped up drugs in their guts) has one of the packages burst, it is often times deadly. The massive bolus of the stimulant can cause tachycardia, arrhythmias, and death. 
What would possess someone to knowingly ingest a meth rock when no cops were trying to bust him for posession?
I didn’t have time to solve that riddle. “Grab me 10mg of Ativan.” I saw the hesitancy in her eyes, but off to the Pyxis she went. “Push Ativan 4mg.” HR 167. BP holding steady.
“Another 4mg.” HR 167…like pissing on a forest fire.
“I’ll push the other 2mg, just grab 10mg more.”
6mg…4mg…HR 160. 10mg…HR 152, unicorns everywhere. 6mg…4mg…HR 144, gone were the chupacabras, but still awake and talking. 4mg…HR 135 and talking. 4mg…HR 124 and calm. 2mg….HR 115, drowsy but easily arousable, protecting the airway. “I think we’re good.” “Wrraaabbgghhh,” he said in agreement. HR 112, SBP 125, O2 sat 94% on room air.
Then the answer struck me. As a young scientist, we would do most experiments in vitro(in a test tube). Rarely in vivo(in a living cell). This addict realized that if he had smoked or shot up this entire rock, the massive bolus through his veins or lungs would have been immediately lethal. But swallowing this rock would allow his gut to slowly digest it. Allowing him to achieve the longest high while walking the thin line between life and death. This was his in vivo experiment. 
Over the years, I’ve confirmed my hypothesis with other toothless scientific colleagues that repeated this in vivo experiment on a larger scale, but this is the only one with photographic evidence. 
#tbt #moredrugsplease #ativan #methkills #resuscitology#toxicology #ER #dontdodrugs #EMS  #paramedic#ambulance #Emergency #flightmedic #flightrn

About the Author
I am an experienced trauma nurse who has seen a lot of super tragic and gnarly things. On the flip side, I’ve have seen and done a lot of amazing things in my 20 years of nursing as well. I’ve saved lives for a living and I have had the privilege and the honor of holding patients hands as they take their last breath. I have seen SO many patients and their loved ones in their most fragile moments. I am proud of my profession, and for the fact that I have fought so valiantly to be here. Sometimes nurses get burnt out, but I have been blessed to be at the bedside all of my career. I have earned multiple degrees and certifications in nursing. I am the nurse you want at your bedside when you’re critically injured and dying. I put my blood, sweat and tears into being clinically astute & relevant. This blog is to help new nurses, nursing students, paramedics, experienced nurses, or whomever comes across my blogs path and think it is intriguing, educational or inspiring to them. In this career, we are all here to share and help one another grow. I believe in building others up, so they can reach the next level, whatever their goal may be. Carpe Diem & ENJOY!

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