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Death from GHB

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Death from GHB

March 5, 2011

Case series of 226 γ-hydroxybutyrate-associated deaths: lethal toxicity and trauma. Zvosek DL et al. Am J Emer Med 2011;29:319-332

Abstract

This long paper retrospectively reviews an extensive series of γ-hydroxybutyrate (GHB) fatalities culled from various sources, including medical examiner/coroner records, state health departments and toxicology labs, law enforcement agencies, and cases reported to the website www.ProjectGHB.org. Cases were included if levels of GHB or 1,4-Butanediol (BD) in various biologic specimens exceeded pre-set cutoffs.

A total of 226 BHG-associated deaths were identified: 213 directly caused by drug toxicity, 13 from trauma judged to be associated with the drug (6 motor vehicle crashes, 6 drownings, 1 fire). Deaths from drug toxicity were most likely caused by respiratory depression.

The authors make a number of important points:

Although GHB is often mistakenly considered safe if taken alone, a number of deaths in this report...

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What to do if a GHB Overdose Occurs

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We must take care of our own. Talk about what to do if a GHB overdose occurs Since it's a more frequent occurrence that any of us would prefer...talking it through ahead of time can help those around you know what to do in case an overdose does happen. Contact the events EMT, they are there for you. Check their breathing. Turn the individual on their side so if they vomit while unconscious they won't choke. If there is reason to think they are in danger, call help immediately. The most dangerous period is between 20 and 120 minutes after ingestion. Try to find out what else they may have taken. Always lean on the side of caution and safety. Whenever someone becomes unconscious after taking a depressant, there is a risk of death. If someone begins vomiting and convulsing after taking GHB, the person should get medical attention immediately....

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Measuring the Concentration of GHB

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What a lot of people do to test the concentration of their gear is take 1-2ml to start off with, then wait 1.5-2 hours to see what happens. If they don't reach the desired effects, they take another dose 1ml higher than their last, wait 1.5-2 hours... And you get the idea.

If you've got 1,4-B, watch out because it doesn't mix entirely with water, and tends to sink to the bottom of the bottle if left to sit for a while. So when you're testing for concentration, you might find that the stuff at the top of the bottle is quite weak and assume the whole batch is... But as you near the bottom of the bottle, it will get stonger and stronger. So it's a good idea to give it a shake before you do anything with it.

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