A 25-year-old man is brought to the emergency department by friends after ingesting an unknown quantity of MDMA (ecstasy) at a party. He is agitated, ...

Question

A 25-year-old man is brought to the emergency department by friends after ingesting an unknown quantity of MDMA (ecstasy) at a party. He is agitated, hyperthermic (40.2°C), tachycardic, and hypertensive, with diaphoresis and clonus. What is the most appropriate acute management priority?

Accepted Answer

Immediate active cooling and supportive care including benzodiazepines

Answer

Administer beta-blockers alone

Answer

Administer naloxone

Answer

Discharge once he appears calmer

Answer

Start high-dose antipsychotics only

ca-mccqe1 MCQ (SBA): MDMA toxicity - hyperthermia management

A 25-year-old man is brought to the emergency department by friends after ingesting an unknown quantity of MDMA (ecstasy) at a party. He is agitated, hyperthermic (40.2°C), tachycardic, and hypertensive, with diaphoresis and clonus. What is the most appropriate acute management priority?