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

被引：73

作者：

Booker, R. J. ^{[1
]}

Smith, J. E. ^{[1
,2
]}

Rodger, M. P. ^{[3
]}

机构：

[1] Derriford Hosp, Emergency Dept, Plymouth PL6 8DH, Devon, England

[2] Royal Ctr Def Med, Acad Dept Mil Emergency Med, Birmingham, W Midlands, England

[3] Torbay Hosp Torquay, Dept Orthopaed, Torquay, England

来源：

EMERGENCY MEDICINE JOURNAL | 2009年 / 26卷 / 05期

关键词：

COCAINE BODY STUFFERS; PACKING; EXPERIENCE; DIAGNOSIS; INGESTION; SMUGGLER; BOWEL;

D O I：

10.1136/emj.2008.057695

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：316 / 320

页数：5

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