PURPOSE: Methamphetamine is an ongoing illegal drug problem worldwide, and its use in South Korea has spread over the last few years. In this study, a clinical review of patients who visited emergency medical centers with positive methamphetamine tests was conducted. METHODS: Patients underwent methamphetamine screening based on physician suspicion over a period of 13 years. Their patient characteristics, clinical features, and drug administration properties were described. RESULTS: A total of 297 patients were included, with 19 positive methamphetamine results. Patient age ranged from 21 to 84, with a mean of 37.52. Additionally, 13 were male and 6 were female. The mean BP, PR, RR were 131/82 mmHg, 94/min, 20/min. Saturation levels were all over 95%. Five patients had a psychiatric history. Patient showed varied symptoms ranging from mental changes to chest discomfort. In addition, seven showed abnormal electrocardiography findings and one showed elevated cardiac enzyme levels. Other laboratory results revealed no significantly abnormal results. Six patients also suffered from related trauma. The majority of patients consumed the methamphetamine orally, with unknown motivation at unknown locations. Most were transported by 119 and six CONCLUSION: Patients who showed positive results to a methamphetamine screening test in Korea visited the emergency medical center mostly by 119 and were unaware of or reluctant to reveal the fact that they had ingested methamphetamine. Emergency physicians should be more aware of the possibility that a patient may have consumed methamphetamine.
Electrocardiography ; Emergencies* ; Female ; Humans ; Korea ; Male ; Mass Screening ; Methamphetamine* ; Motivation ; Poisoning ; Republic of Korea ; Thorax

Methamphetamine (MA) is a representative drug of amphetamine-type stimulants for central nervous system and has become one of the most dangerous drugs in the world recently. The present article reviews the pharmacological effects, distribution, metabolism, intoxication mechanism, the effects of MA on cardiovascular and central nervous systems of MA, and the current situation of forensic investigation on MA.
Amphetamine-Related Disorders/pathology* ; Animals ; Central Nervous System/pathology* ; Central Nervous System Stimulants/poisoning* ; Forensic Toxicology ; Humans ; Immunohistochemistry ; Methamphetamine/poisoning* ; Substance Abuse Detection/methods*

OBJECTIVE: To develop a specific CZE method for the determination of methamphetamine in whole blood after solid phase extraction. METHODS: With the doxapram as internal standard, Oasis column was used to extract drugs from whole blood and the sample was analysized by CZE. RESULTS: The method showed excellent linearity and the linear correlation coefficient was 0.994. The relative standard deviation for between-day and within-day were 5.31% and 2.22%, respectively. CONCLUSION The method is effective, simple, reliable and has been used in the determination of methamphetamine in whole blood.
Doxapram/chemistry* ; Electrophoresis, Capillary/methods* ; Forensic Medicine ; Gas Chromatography-Mass Spectrometry ; Humans ; Methamphetamine/poisoning* ; Reproducibility of Results ; Sensitivity and Specificity ; Solid Phase Extraction ; Solvents/chemistry*

Amphetamine-type stimulants (ATS) is the most widespread narcotics in the 21st century. The methamphetamine's intoxication mechanism, psychological dependence, drug resistance and therapeutic drug development are the hot spots in current research. Establishment of animal model with methamphetamine poisoning is the basic for the relative studies, the normalization and standardization of the animal model settles the foundation for methamphetamine's further research. This article reviews the animal model of methamphetamine poisoning in China and abroad, the brief history of the acute, subacute and chronic animal model of methamphetamine poisoning, as well as the principles and methods of the animal model establishment and its evaluation criteria. The necessity, significance and its scientific expansion of performing experimental research on the methamphetamine poisoning animal model are also discussed.
Amphetamine-Related Disorders/psychology* ; Animals ; Behavior, Animal/drug effects* ; Central Nervous System Stimulants/poisoning* ; Cerebral Cortex/drug effects* ; Disease Models, Animal ; Forensic Toxicology ; Humans ; Injections, Intraperitoneal ; Methamphetamine/poisoning* ; Stereotyped Behavior/drug effects*

Drug abuse and its related problems are increasing continuously in Korea. One of the most frequently abused drugs is methamphetamine, but there are few medical report in Korea. This is the first report of the identification of methamphetamine in the blood of a patient who had a return of spontaneous circulation after cardiac arrest and survived discharge. A 33-year-old male arrived at the emergency department presenting with chest pain and dyspnea. He had ingested methamphetamine and alcohol approximately 7 hours before arrival. One hour after arrival, he had seizure followed by cardiac arrest. Spontaneous circulation was recovered after 4 minutes of CPR. An analysis of the National Forensic Service identified plasma methamphetamine with an estimated average concentration of plasma methamphetamine at the time of arrival of 0.6 mg/L, a lethal dose. He had rhabdomyolysis and acute kidney injury but survived after continuous renal replacement therapy. Since then, he has suffered chronic kidney disease, and he is being followed up at the out-patient department. In Korea, although drug abuse is still uncommon, it is on the increase. Therefore, emergency physicians should be aware of the clinical characteristics of methamphetamine poisoning.
Acute Kidney Injury ; Adult ; Cardiopulmonary Resuscitation ; Chest Pain ; Dyspnea ; Emergencies ; Emergency Service, Hospital ; Heart Arrest* ; Humans ; Korea ; Male ; Methamphetamine* ; Outpatients ; Plasma ; Poisoning* ; Renal Insufficiency, Chronic ; Renal Replacement Therapy ; Resuscitation ; Rhabdomyolysis ; Seizures ; Substance-Related Disorders