+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Packers, pushers and stuffers--managing patients with concealed drugs in UK emergency departments: a clinical and medicolegal review

, : Packers, pushers and stuffers--managing patients with concealed drugs in UK emergency departments: a clinical and medicolegal review. Emergency Medicine Journal 26(5): 316-320

Body packing, pushing and stuffing are methods by which illicit drugs may be carried within the human body. Patients involved in these practices may present UK emergency departments with complex medical, legal and ethical considerations. This review article examines not only the evidence behind the clinical management of these patients, but also the legal powers afforded to the authorities to authorise the use of intimate searches and diagnostic imaging for forensic purposes. Serious complications from concealed drug packets are now rare, and most asymptomatic patients may be safely discharged from hospital after assessment. Emergency surgery is indicated for body packers with cocaine poisoning and for some cases of heroin poisoning. Urgent surgery is indicated for obstruction, perforation, the passage of packet fragments and failure of conservative treatment. Guidance is given for doctors who are faced with requests from the authorities to perform intimate searches and diagnostic imaging for forensic purposes.


PMID: 19386860

DOI: 10.1136/emj.2008.057695

Other references

Anonymous, 2017: Shaping the future. Last week BVA members gathered in Belfast to hear about their organisation's future plans, welcome new officers and celebrate excellence in the profession.

Brandt F.; Adamczyk R., 1985: The mean increment threshold of the visual field and the reduction in the electroretinogram amplitude after retinal detachment. After surgical treatment of retinal detachment with a spontaneously pigmented demarcation line the visual fields of 12 patients were tested. The increment threshold of all positions (determined with the Octopus automatic perimeter system) was comp...

Seelert, S.; Schindewolf, U., 1990: Anion exchange with liquid ammonia: separation and identification of the main components of sulfur-ammonia solutions. The main components of a solution of sulfur in liquid ammonia were separated using anion exchange HPLC with NH4NO3 in liquid ammonia (0.0035 M) as mobile phase. The known anions S4N- and S3N- (sulfur in oxidized form) as well as S3- which is in eq...

Bootman, M.D.; Lipp, P., 1999: Calcium signalling: Ringing changes to the 'bell-shaped curve'. The 'bell-shaped' curve relating cytosolic Ca2+ concentration to IP3 receptor activation is considered important in the generation of the complex Ca2+ signals seen inside many cells. But recent findings suggest this bimodal relationship...

Dati F.; Grenner G.; Schmidtberger R., 1981: Quantitation of alpha feto protein by enzyme linked immuno sorbent assay. Journal of Clinical Chemistry & Clinical Biochemistry 19(4): 216

Thorington, L., 1985: Spectral, irradiance, and temporal aspects of natural and artificial light. Annals of the New York Academy of Sciences 453: 28-54

Esser, H., 1978: Early prognosis in patients with recent myocardial infarct. Hemodynamic studies were performed in a total of 50 patients suffering from acute transmural myocardial infarction. The aim of these studies was to find hemodynamic parameters permitting at an early stage a reliable prognosis. Our results show tha...

Chim, C.S.; Ma, S.K., 2000: Giant pronormoblasts in parvovirus-associated pure red cell aplasia. American Journal of Hematology 65(4): 289-289

Broere, L.; van Herten, J., 2003: New warranty period of 6 months also when buying animals. Tijdschrift Voor Diergeneeskunde 128(11): 367-368

Dieckhoff, J.; Koch, R., 1957: Glycolipoids in the cerebrospinal fluid under normal and pathological conditions in childhood. The lipoid fraction of the cerebrospinal fluid in childhood contains normally 170 mg% calculated as galactose, the limits being 160-270 mg% (700- 800 mg% calculated as cerebroside). Inflammatory processes of the meninges (abacterial, purulent and...