Cocaine, Amphetamine, Methamphetamine, MDMA, Bath Salts Overdose

All of these drugs cause symptoms and findings via sympathetic stimulation


  • Injected, oral or inhaled

Risk Factors

  • History of substance abuse, prior overdose


  • Seizures
  • CNS Activation: Agitation, confusion
  • Anxiety, delusions, paranoia
  • Can be aggressive/violent
  • Chest pain, SOB from thrombus, ischemia, dissection

Physical Exam Findings

  • Agitated
  • Seizures
  • Tachycardia, hypertensive
  • Diaphoretic, febrile
  • Dilated pupils, tremor