This course will define natural, semi synthetic, and synthetic descriptors as it relates to drugs. It will describe the pathophysiology between ecstasy and bath salt overdose as well as signs and symptoms of excited delirium. Treatment options for this patient population will be discussed.

What started out like many other cases of domestic violence ended up being a life changing look into what victims face at the hand of their abusers on a regular basis. After a report of a domestic dispute, police and emergency medical responders arrived at the home of a frantic female who reported multiple strangulations. She had no visible injuries, which left responders questioning- could this be true? After a brief investigation, this case diverged from the typical when detectives realized that the entire 24-hour nightmare was captured on video. This video changed the way police officers, medical staff, advocates, prosecutors and judges view reports of domestic violence. While we have all read and heard many statements about this type of conduct: seeing it unfold, raw and real, is chilling. And, it highlights just how easily someone can strangle their partner to the point of unconsciousness without leaving a mark. This presentation will not only give you a direct window into a domestic assault but also explore the impact the actions of first responders can have on a victim. Please be aware that participants will be viewing graphic imaging and language. Due to the nature of this case study this will be offered in person only.