A 24-year-old man presents with agitation, sweating, tachycardia, dilated pupils and hallucinations after taking an unknown quantity of MDMA at a musi...

Question

A 24-year-old man presents with agitation, sweating, tachycardia, dilated pupils and hallucinations after taking an unknown quantity of MDMA at a music festival. Temperature is 40.2°C. According to toxicology and emergency guidelines, what is the most appropriate immediate management?

Accepted Answer

Active cooling, intravenous fluids and benzodiazepines

Answer

Physical restraint only and wait for drug to wear off

Answer

Antipsychotics only for agitation

Answer

Propranolol to control tachycardia

Answer

Discharge with reassurance as MDMA is safe

au-amc MCQ (SBA): MDMA (ecstasy) toxicity

A 24-year-old man presents with agitation, sweating, tachycardia, dilated pupils and hallucinations after taking an unknown quantity of MDMA at a music festival. Temperature is 40.2°C. According to toxicology and emergency guidelines, what is the most appropriate immediate management?