St. John Ambulance Australia, Melbourne, Australia.
Prehosp Disaster Med. 2012 Oct;27(5):463-7. doi: 10.1017/S1049023X12000994. Epub 2012 Jul 19.
Recreational use of gamma-hydroxybutyrate (GHB) is increasingly common at mass-gathering dance events in Australia. Overdose often occurs in clusters, and places a significant burden on the surrounding health care infrastructure.
To describe the clinical presentation, required interventions and disposition of patrons with GHB intoxication at dance events, when managed by dedicated medical assistance teams.
Retrospective analysis of all patrons attending St. John Ambulance medical assistance teams at dance events in the state of Victoria (Australia), from January 2010 through May 2011. Main outcome measures Clinical presentation, medical interventions and discharge destination.
Sixty-one patients with GHB intoxication attended medical teams during the study period. The median age was 22 years, and 64% were male. Altered conscious state was present in 89% of attendances, and a GCS <9 in 44%. Hypotension, bradycardia and hypothermia were commonly encountered. Endotracheal intubation was required in three percent of patrons. Median length of stay onsite was 90 minutes. Ambulance transport to hospital was avoided in 65% of presentations.
The deployment of medical teams at dance events and music festivals successfully managed the majority of GHB intoxications onsite and avoided acute care ambulance transfer and emergency department attendance.
娱乐性使用 γ-羟基丁酸（GHB）在澳大利亚的大型聚会舞蹈活动中越来越普遍。过量服用通常会成群发生，给周围的医疗保健基础设施带来了巨大的负担。
描述在舞蹈活动中，由专门的医疗援助小组管理时，GHB 中毒顾客的临床表现、所需干预措施和处置情况。
对 2010 年 1 月至 2011 年 5 月期间在维多利亚州（澳大利亚）参加圣约翰急救医疗援助小组的所有顾客进行回顾性分析。主要观察指标为临床表现、医疗干预措施和出院去向。
在研究期间，共有 61 名 GHB 中毒患者接受了医疗小组的治疗。患者的中位年龄为 22 岁，64%为男性。89%的就诊者有意识状态改变，44%的就诊者格拉斯哥昏迷评分（GCS）<9。低血压、心动过缓和低体温很常见。有 3%的患者需要进行气管插管。现场停留的中位数时间为 90 分钟。在 65%的就诊者中避免了救护车转院到医院。
在舞蹈活动和音乐节上部署医疗小组成功地在现场管理了大多数 GHB 中毒病例，并避免了急性护理救护车转移和急诊就诊。
