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RacilyDank

Specialist
Sep 3, 2018
321
I have personally attended to 3 and heard several others from my colleagues. Out of the 3 I attended to, 2 of them were conscious when being admitted and they complained of severe stomach pain and migraine where the 3rd patient was in a seizure and was unable to communicate. All of them died unfortunately between 3-6 hrs upon admission.
Interesting. Were they all suicide attempts do you know?
 
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RacilyDank

Specialist
Sep 3, 2018
321
And were they not administered methylene blue? It was my understanding that is the antidote
 
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IfHeDiesHeDies

IfHeDiesHeDies

Specialist
Sep 12, 2018
383
Interesting. Were they all suicide attempts do you know?

I would guess so but I can't be sure. The autopsy reports all show abnormally high levels of nitrite and methemoglobin even after gastric lavage, charcoal and methylene blue. One has to intentionally take a very large amount of SN to support such toxicological findings..or the deceased may have mistaken took it thinking it's salt or they were being poisoned.
 
Justanotherconsumer

Justanotherconsumer

Paragon
Jul 9, 2018
974
All the reports ive read its 100% reversible when treated with methylene blue. Autopsy reports almost always a large amount of vomit nearby, so i find it strange the ppeh doesent recommend meto antiemetic.
 
IfHeDiesHeDies

IfHeDiesHeDies

Specialist
Sep 12, 2018
383
All the reports ive read its 100% reversible when treated with methylene blue. Autopsy reports almost always a large amount of vomit nearby, so i find it strange the ppeh doesent recommend meto antiemetic.

There are many cases where the administration of methylene blue fail to reverse the damage done by SN. It all depends of the level of methemoglobin when MB is administered.

As to vomiting, I agree that it is extremely common in SN poisoning, as such an anti-emetic is a must if one chooses this method.
 

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