Buy MDMA pills Gdynia

__________________________

📍 Verified store!

📍 Guarantees! Quality! Reviews!

__________________________

▼▼ ▼▼ ▼▼ ▼▼ ▼▼ ▼▼ ▼▼

▲▲ ▲▲ ▲▲ ▲▲ ▲▲ ▲▲ ▲▲

Buy MDMA pills Gdynia

Medyczna marihuana. Witaminy i suplementy. Seks i zdrowie intymne. Choroby psychiczne i zaburzenia psychologiczne. Wyprawka dla noworodka. Kosmetyki dla dzieci. Akcesoria dla dzieci. Inhalatory i nebulizatory. Aspiratory do nosa. Testy diagnostyczne. Akcesoria medyczne. Kosmetyki dla kobiet. Kosmetyki do twarzy. Kosmetyki po chemioterapii i radioterapii. Kosmetyki naturalne i organiczne. Bioderma Photoderm. Bioderma Sensibio. Bioderma Pigmentbio. Bioderma Hydrabio. Apis Natural Cosmetics. Witaminy i suplementy dla dzieci. Witaminy i suplementy dla kobiet. Adaptogeny na stres. Kwasy omega Kwas foliowy - witamina B9. Nietrzymanie moczu. Krople i spraye do czyszczenia uszu. Higiena jamy ustnej. Prezenty dla Niej. Prezenty dla Niego. Prezenty dla Dziecka. Prezenty dla Babci i Dziadka. Prezenty walentynkowe. Zamienniki opakowania:. Ignacego Paderewskiego 3, Warszawa. Leopolda Okulickiego 51, lok. Metylofenidat przenika do mleka ludzkiego. Nie wiadomo kiedy sytuacja ulegnie poprawie. Producent nie przewiduje przerw w dostawach. W zasadzie Czy potrzebna jest oddzielna recepta, czy wydawana jest jak jazdy Tak, Concentia to odpowiednik leku Concerta. Domowa apteczka. Miejska dostawa w 1h. Zdrowie Rzucanie palenia. Rany i urazy. Choroby tarczycy. Oczy i wzrok. Zdrowie dziecka. Kosmetyki CeraVe. Kremy z filtrem. Olej konopny. La Roche-Posay. Bioderma Atoderm. Bioderma Sebium. Bioderma Cicabio. Bioderma Node. Bioderma ABCDerm. Witaminy i suplementy Witaminy i suplementy dla dzieci. Koenzym Q Witamina A. Witamina B Witamina C. Witamina D. Witamina K. Olimp Labs. Health Labs Care. Higiena Nietrzymanie moczu. Higiena intymna. Higiena nosa. Dawka: 36 mg. Opakowanie: 30 tabletek. Zamienniki opakowania: 2 zamienniki w tym 0 refundowanych. Produkt refundowany. Dodaj do koszyka. Dworcowa 8, Konin otwarta od Grodziska 46 lok. Nowa 4A, Stara Iwiczna otwarta od Zamieniecka 80 lok. Ostrobramska 75C, Warszawa otwarta od Ignacego Paderewskiego 3, Warszawa otwarta od Tarnowska 4, Kielce otwarta od Dubois 10, Gliwice otwarta od Chorzowska , Katowice otwarta od Adama Mickiewicza 16, Pniewy otwarta od Rynek 14, Prudnik otwarta od Strzelecka 2, Debrzno otwarta od Szpitalna 1a, Koszalin otwarta od Ulotka produktu. Klasyfikacja Concerta. Podobne produkty Concerta. Zincas Forte. Vita Buerlecithin. Gold Omega 3. Powiadom o nowej informacji. Wszystkie pytania o Concerta. Najnowsze filmy Concerta. Objawy ADHD u dzieci - czy to tylko deficyt uwagi? Gdzie jest w jedzeniu? Nie jest lekiem recepturowym. Nie jest to import docelowy. Nie jest wyrobem medycznym. Wystawiasz recepty w gabinet. Zobacz w Chrome Web Store. Obserwuj nas.

Concerta, cena i dostępność w aptekach

Buy MDMA pills Gdynia

These datasets underpin the analysis presented in the agency's work. Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More events. More news. We are your source of drug-related expertise in Europe. We prepare and share independent, scientifically validated knowledge, alerts and recommendations. About the EUDA. This project involves the collection of data on emergency department presentations or visits with acute drug toxicity in participating countries in Europe. More centres are currently being recruited to increase the European value, representativeness and utility of this data source. The project aims to provide detailed information on the nature and extent of harm associated with the use of drugs such as but not limited to cannabis, cocaine, heroin and other opioids, amphetamines, polydrug use with alcohol, as well as non-medical recreational use of prescription and over the counter medicines, and new psychoactive substances. Data from all centres can be explored through an interactive tool, and a detailed analysis of the findings of the most recent data, from , is presented. In this section you can explore the data from the most recent year , as well as from previous years starting from the last quarter of Bubble sizes on the map show the percentage of presentations with the selected substance present. More information on the patterns of polydrug use will be added latter on this page. Clicking on a bubble on the map will show numbers, some break-down of the presenattions by sex, age band and admission to intensive care unit, as well as more detailed information for the service. You can also select a hospital from the drop-down menu. Most presentations involve reported use of more than one drug. Mixing drugs can result in some interactions and can potentiate the effects of a single drug. It might therefore be difficult to determine the effect of a particular drug. Therefore, the mention of alcohol in the table below refers only to those presentations that involved illicit drugs, misuse of prescription medicines for recreational purposes or new psychoactive substances NPS. These particular presentations represent only a small proportion of all the acute alcohol toxicity presentations seen in hospital emergency services. Another limitation and possible bias of these data is that information on whether or not alcohol has been co-reported is not systematically collected in all centres. The proportion of presentations for which this information is available is reported in the table below. This needs to be kept in mind when comparing the proportion of presentations in which alcohol was involved, across centres and over time. Acute drug toxicity presentations with a medicine are included only when licensed pharmaceutical preparations both prescription and over-the-counter medicines are misused. The results provide a valuable sentinel-based surveillance of acute drug-related harms. These findings reveal marked geographical variations and changes over time see data explorer and provide a unique insight into the public health implications of drug use in Europe. Euro-DEN started enhanced monitoring of acute drug toxicity presentations in European hospitals in October The sentinel network of hospital emergency services provides timelier and more accurate information on the harms associated with drug use than the routine national data reported in some countries see the FAQ on drug-related hospital emergencies for a more detailed list of the strengths and limitations of this source of information. The network has published more than 25 papers by January The findings presented here from 28 active centres in in the European Union, Switzerland and the United Kingdom show that the number of presentations varied considerably across study locations. This reflects the large size and catchment area of the hospitals, but also the prevalence of drug use around the hospitals. The type of drugs involved in the presentations varied across centres — reflecting local markets and patterns of use — although the main drugs were reported in most of the participating centres. Acute cannabis toxicity can be associated with a range of health problems, including neuropsychiatric and physical effects Although outside the scope of the Euro-DEN Plus network, which focuses on the adult population, paediatric hospitals signal that unintentional paediatric cannabis intoxications are common and are on the rise in certain regions 5. Cannabis was the second most commonly reported illicit drug in this series. The median percentage of presentations involving cannabis was The highest proportion of presentations with cannabis involved was reported in Nicosia — 7 in 10 cases — followed by other centres in the south and east of Europe, including Bucharest, Mallorca and Msida. There is no information reported on the type of cannabis used resin, herb, oil, edible nor on the route of administration smoked, vaporised, ingested. Cannabis was reported in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving cannabis increased in ten of these centres in relation to other substances in the previous year. In six centres, this share decreased and in 12 centres it remained stable. Substances are ranked by the share of presentations in which they are involved and the trend analysis is based on these ranks. No year-to-year change in ranks is defined as stable. Alcohol was reported in the context of polydrug use i. The highest proportions of acute drug toxicity presentations in which alcohol was mentioned were reported in centres in the north of Europe, including Oslo, London, Dublin, Vilnius, Ghent, Parnu, Munich as well as in Ljubljana, Rozzano and Geneva. Acute cocaine toxicity can be associated with physical— in particular cardiovascular and neurological — and neuropsychiatric effects Increases in cocaine availability, use and harms are reported in many countries in Europe The median percentage of presentations involving cocaine was The proportion of presentations with cocaine involved was highest in hospitals in western and southern Europe, including in Rozano and Mallorca where half or more of the presentations involved cocaine, followed by Drogheda, Basel, Antwerp, Nicosia and Msida. Similar to previous years, the lowest proportions of presentations with cocaine mentioned were reported in centres in eastern European cities including Bucharest, Gdansk and Vilnius. Cocaine was reported across all 28 centres that reported data for that year. In , the share of emergency room presentations involving cocaine increased in six centres compared with those for other substances in the previous year. In seven centres, this share decreased and in 15 it remained stable. Crack cocaine: a few centres including those in Paris, Drogheda and London for the north and west of Europe, and those in Msida and Barcelona for the south of Europe reported presentations involving the use of crack cocaine not shown on the map 8. Crack was reported by 12 centres in In , the share of emergency room presentations involving crack increased in seven of these centres compared with those for other substances in the previous year. In one centre, this share decreased and in four it remained stable. Amphetamine and amphetamine-type stimulants such as MDMA and methamphetamine are central nervous system stimulants that cause hypertension and tachycardia, agitation, psychosis and feelings of increased confidence, sociability and energy Amphetamine is the second most commonly reported stimulant drug, far behind cocaine. The median percentage of presentations involving amphetamine was 4. The frequency of presentations involving amphetamine varied considerably across study locations. As in previous years, the highest proportions were reported in cities in the north and east of Europe, in particular Riga, Sofia and Parnu, where around a third or more of the presentations involved amphetamine. The drug was involved in a smaller proportion of presentations in centres in the south and west of Europe in countries such as Ireland, Cyprus, Malta and Italy. Amphetamine was reported by 25 centres in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving amphetamine increased in eight centres compared with those for other substances in the previous year. In 12 centres, this share decreased and in five it remained stable. MDMA ecstasy has been being reported in a similar proportion of presentations as amphetamine in previous analysis The median percentage of presentations involving MDMA was 5. MDMA was reported by 24 centres in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving MDMA increased in 12 of these centres compared with those for other substances in the previous year. In five centres, this share decreased and in seven it remained stable. Methamphetamine was reported less frequently than other drugs and in specific centres only. The median percentage of presentations involving methamphetamine was 2. In only in a small number of centres — Bratislava, Nicosia and Sofia — methamphetamine was involved in more than a quarter of presentations. Riga, two centres in London and Barcelona reported that methamphetamine was involved in more than one in ten cases. Other centres reported no or negligible proportions of presentations in which methamphetamine was involved. Methamphetamine was reported by 22 centres in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving methamphetamine increased in nine of these centres compared with those for other substances in the previous year. In ten centres, this share decreased and in three it remained stable. Opioids are depressants of the central nervous system and cause breathing difficulties. Acute opioid toxicity can involve different types of opioids and can lead to death This section presents the data on the selected single opioids: heroin illicit drug and methadone prescription medicine. The median percentage of presentations involving heroin was 5. Roughly a fifth to a quarter of the presentations involved heroin in one centre in Oslo, in Drogheda in Ljubljana and in Dublin. In contrast, very small proportions of the presentations involved heroin in the centres in Ghent, Amsterdam, Vilnius and — in the southern and western parts of Europe — in Paris and Barcelona. Heroin was reported by 24 centres in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving heroin increased in seven centres compared with those for other substances in the previous year. In five centres, this share decreased and in twelve it remained stable. Methadone wasinvolved in more than one in ten presentations in Sofia, Riga, Dublin and Ljubljana. It was reported by 22 centres in across all 28 centres that reported data for that year. In , the share of emergency room presentations involving methadone increased in nine centres compared with those for other substances in the previous year. In nine centres, this share decreased and in four it remained stable. Benzodiazepines are prescribed to treat a range of conditions, including anxiety, insomnia, epilepsy and alcohol withdrawal. They are also commonly misused for a variety of reasons. Benzodiazepines are central nervous system depressants and can potentiate the effect of acute toxicity with other depressant drugs, including alcohol and opioids 18, The median percentage of presentations involving any benzodiazepine was Munich, Drogheda and Dublin, Oslo, Paris and Gdansk were the centres with the highest proportion of presentations involving prescription medicines of this group. In contrast, Amsterdam, Msida, Bratislava reported the smallest proportion of presentations involving benzodiazepine, possibly reflecting a more recreational pattern of use compared to the centres where this prescription medicine was more frequently involved in the presentations. Caveats: for this and other drugs, there are small numbers of presentations reported in some years for some centres, and the percentages should be interpretated with caution. Acute toxicity with these drugs can be associated with somatic problems, including coma, respiratory depression and death 7, The highest levels in were reported in Parnu small numbers and Oslo with more than half of the presentations, and in the centres in the Amsterdam, Utrecht London and Barcelona with more than one in five. In nine centres, this share decreased and in five it remained stable. The median percentage of presentations involving ketamine was 2. Ketamine was reported by 23 centres across all 28 centres that reported data for that year. In , the share of emergency room presentations involving ketamine increased in 15 centres compared with those for other substances in the previous year. In three centres, this share decreased and in five it remained stable. Numbers are small are interpretation of the increasing trend in some centres should be cautious. No year-to-year change in ranks is defined as stable not shown on the map. The NPS identified in this series are mainly synthetic cannabinoids and synthetic cathinones The median percentage of presentations involving NPS was 3. The centres in Rozzano, Gdansk, Bucharest and Msida reported the highest proportion of cases with NPS involved noting that due to the small numbers, the proportion needs to be interpreted with caution. A recent large multicentre series of NPS presentations to European emergency departments showed marked geographical variations and changes over time in the proportion of presentations involving NPS, as well as the proportion of NPS subgroups The other individual drugs most frequently reported apart from those mentioned above varied by country, reflecting the diversity of the local patterns of high-risk drug use. For several years the centres in Tallinn and Vilnius have been reporting fentanyl and fentanyl analogues, as the drug has replaced heroin in the local markets; the centres in Paris, London, Msida have been reporting crack; both centres in Ireland have been reporting the benzodiazepine medicine alprazolam; and centres in Oslo have been reporting clonazepam and other benzodiazepines. For the past few years, centres in London have reported ketamine, crack and mephedrone, and Barcelona has reported ketamine, poppers and lysergic acid diethylamide LSD. Centres in London and in Amsterdam have reported acute drug toxicity involving nitrous oxide, mirroring the recent data from other indicators across Europe There are differences in the drugs involved in acute drug toxicity presentations according to age and sex Most presentations were among males. There was no clear geographical distribution of the centres according to the proportion of men and women, and some centres in the same country e. Spain reported quite different proportions of women, suggesting a local drug scene. For example, the proportion of women in Mallorca was around 1 in 3 compared to around 1 in 5 in Barcelona. Data on gender have recently been added to the data collection on sex and will be available later. The centre in Bucharest is an outlier as it is based in a paediatric hospital and has seen only presentations in patients aged less than 25 years. In contrast, the highest proportions of presentations aged over 45 years were reported in centres in Mallorca, Dublin and Rozanno, Oslo and centres in Switzerland. This is consistent with an ageing cohort of high-risk drug users that has been reported for some years in the west of Europe 25, This indicator is used as a proxy for severity, although it is potentially biased by the organisation of the services and potential variation in thresholds for critical care admission around Europe. Oslo 9 in 10 and Utrecht 4 in 10 are outliers, with higher proportions of presentations being hospitalised in critical care units than those in other centres. This difference is in part explained by the selection bias and the referral of the most severe presentations to these rather than to other local centres. HDUs are wards for people who need more intensive observation, treatment and nursing care than is possible in a general ward but slightly less than that given in intensive care. In this series, depending on the local organisation of care, some patients will have been admitted to HDU Level 2 — for example for intravenous naloxone infusion — rather than critical care Level 3. In some centres, short-term invasive procedures e. There are both strengths and limitations affecting comparability, generalisability and interpretation, and these should be kept in mind when using these data see the FAQ on drug-related hospital emergencies :. The study highlights the differences between centres, which are explained in part by the different social and demographic characteristics of the people who are using drugs, drug use patterns and settings e. This monitoring underlines the value of the local data, but also the need to avoid generalisation beyond the hospital, the city, and especially the country. In and , any comparison with previous years and between centres should take into consideration the context of the COVID pandemic. Drug availability and drug-using habits have been impacted by the pandemic, which, in turn, has impacted the nature and number of acute drug toxicity presentations. Further, the general access to hospital emergency services was disrupted and might have prevented some patients from presenting to hospital, even if they would have come to hospital under normal circumstances. The data from the network can contribute to city-level monitoring, along with other indicators, including ESCAPE monitoring of syringe residues , TEDI monitoring through drug checking services and SCORE monitoring of wastewater , all of which are supplementary and anchored in the national monitoring systems coordinated by the European Reitox network The data can also cross-check and complete the data on acute drug toxicity presentations reported at national level in some countries. This is useful, as national routine data are known to largely underestimate the number of drug-related presentations to hospital emergency departments 29, Finally, other types of drug-related presentations could be monitored through Euro-DEN Plus or a similar network, including drug-related trauma, driving accidents, other drug-related violence, including homicide or drug-facilitated sexual assault, and acute drug toxicity with suicidal intent. The network will continue to contribute to the European Drug Report 25 and to the European Drug Market Report, as well as answer ad hoc requests including from national bodies and risk assessments, and contribute to other outputs such as Trendspotters. The Euro-DEN Plus network of sentinel hospitals has demonstrated its potential as a useful complement to established monitoring tools in the drugs area for providing important data on the public health implications of drug use in Europe. This sentinel network also has the potential to provide timely information on geographical and temporal trends. Its ability to rapidly detect new trends and to inform on demographics and patterns of use can help to target local or national public health programmes and policy initiatives for specific groups of people and in specific settings and cities. J Med Toxicol. Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex. Clin Toxicol Phila. World Health Organization. The health and social effects of nonmedical cannabis use. Geneva: WHO Press; Psychosis associated with acute recreational drug toxicity: a European case series. BMC Psychiatry. Acute Cannabis Toxicity. Pediatr Emerg Care. Clinical effect of ethanol co-use in patients with acute drug toxicity involving the use of central nervous system depressant recreational drugs. Eur J Emerg Med. Toxicol Lett. Epidemiology, clinical features and management of patients presenting to European emergency departments with acute cocaine toxicity: comparison between powder cocaine and crack cocaine cases. Severity of emergency department presentations due to acute drug toxicity in Europe: longitudinal analysis over a 6-year period stratified by sex. The Cardiovascular Effects of Cocaine. J Am Coll Cardiol. Emergency health consequences of cocaine use in Europe. A review of the monitoring of drug-related acute emergencies in 30 European countries. Perspective on Drugs. Emergency health consequences of cocaine use in Europe \[updated OFDT eds. Evolutions et tendances en France Paris: OFDT; Luxembourg; Amphetamine drug-profile Lisbon, Br J Clin Pharmacol. Presentations to the emergency department with non-medical use of benzodiazepines and Z-drugs: profiling and relation to sales data. Eur J Clin Pharmacol. New benzodiazepines in Europe — a review. Intoxication by gamma-hydroxybutyrate and related analogues: Clinical characteristics and comparison between pure intoxication and that combined with other substances of abuse. Novel psychoactive substances-related presentations to the emergency departments of the European drug emergencies network plus Euro-DEN Plus over the six-year period Recreational use of nitrous oxide — a growing concern for Europe. Luxembourg: Publications Office of the European Union; Variation of drugs involved in acute drug toxicity presentations based on age and sex: an epidemiological approach based on European emergency departments. European Drug Report trends and developments. Current European data collection on emergency department presentations with acute recreational drug toxicity: gaps and national variations. Acute recreational drug toxicity: Comparison of self-reports and results of immunoassay and additional analytical methods in a multicenter European case series. Medicine Baltimore. ICD coding: poor identification of recreational drug presentations to a large emergency department. Emerg Med J. Click on the 'Show source tables' button below to access all of the data used to generate the data explorer on this page. In addition to the data below, a yearly snapshot of data from this Euro-DEN plus project is published as part of the Statistical Bulletin. This also includes further methodological notes. Please see the Hospital emergencies data set in the Statistical Bulletin Show source tables. Homepage Quick links Quick links. GO Results hosted on duckduckgo. Main navigation Data Open related submenu Data. Latest data Prevalence of drug use Drug-induced deaths Infectious diseases Problem drug use Treatment demand Seizures of drugs Price, purity and potency. Drug use and prison Drug law offences Health and social responses Drug checking Hospital emergencies data Syringe residues data Wastewater analysis Data catalogue. Selected topics Alternatives to coercive sanctions Cannabis Cannabis policy Cocaine Darknet markets Drug checking Drug consumption facilities Drug markets Drug-related deaths Drug-related infectious diseases. Recently published Findings from a scoping literature…. Penalties at a glance. Frequently asked questions FAQ : drug…. FAQ: therapeutic use of psychedelic…. Viral hepatitis elimination barometer…. EU Drug Market: New psychoactive…. EU Drug Market: Drivers and facilitators. Statistical Bulletin home. Quick links Search news Subscribe newsletter for recent news Subscribe to news releases. Page last updated: 16 January Jump to a table: Table 1. Table 2. All patients coming to ED is first checked by the emergency doctor and upon their request by clinical toxicology doctor. Not available Belgium Antwerp With both long-term drug users and recreational use Patients managed by ED. With referral to ICU, internal medicine or psychiatry as required. No dedicated toxicology department, though two toxicologists in the ED team. Bulgaria Sofia Pirogov Specialist toxicology clinic and teaching facility. Referral clinic for toxicology pathology for the country. Located in the centre of Sofia, the hospital is located near night life settings. Mostly young people - heroin users, recreational stimulant users, party goers, but there are also older people with long-term drug addiction, included clients in methadone programs. Cyprus Nicosia Denmark Roskilde Population served increases significantly in the summer with tourists from other parts of Estonia and abroad. Estonia Tallinn In Estonia opioid overdoses are mainly treated on scene and patients are rarely admitted to ED. Finland Helsinki Specialists on-call from the Paris Poison Centre and the medical and toxicological intensive care unit are consulted for specific or severe cases, respectively. Georgia Tblisi Users prefer sympathomimetics NPS, cocaine, amphetamines, etc. Among opioids, heroin does not play a dominant role, rather fentanyl and methadone. Cannabinoids and pregabalin are in the foreground. ChemSex, due to the proximity of a gay neighborhood. Mixed urban and rural population Large rural town population of 41, Large catchment area. Drugs ingested in context of parties and nightclubs primarily. Main drug groups are heroin, cocaine and stimulants. Teaching hospital ED in teaching hospital North inner city serving a domiciled population Initial management of toxicological emergencies is in the ED with admission under general medicine or critical care if required. Israel Haifa The north district is known for its low socioeconomic status. Nearby is the main psychiatric hospital of the Northern Israel. Mainly wide cannabis usage in the area, but also heroin and cocaine. Out of office hours by ER Physician or internal physician. During office hours Toxicology Service are on site The Israel Poison Information Center - the only service of its kind in the country - located at Rambam Health Care Campus and provides expert advice on poisonings to the healthcare system and the general public. Italy Monza The type of users is very different: heroin users, recreational stimulant users, party goers with cannabis most used. Italy Rozzano Several patients with psychiatric problems and substance abuse who do not usually belong to our ER because they do not have psychiatry Latvia Riga Lithuania Vilnius This is a clinical department which consists of 6 ICU beds and 15 general ward beds. Alongside is a psychiatry ward with 17 beds. Malta Msida Malta is the smallest national capital in the EU. A tourist destination with its warm climate with numerous recreational areas. Most common recreational overdoses are cocaine crack on the rise , cannabis, synthetic cannabinoids, and heroin. Party goers presentations tend to be highest from April-Sept with another small peak in November There is no formal toxicological service, with poisoned patients being treated in the Emergency Department, intensive care, paediatric wards or general medical wards. North Macedonia Skopje Primary care emergency institution City of Oslo Located in the city centre, close to both main nightlife areas, safe consumption room, and open opioid addict scene. Main patient groups: ethanol both binge drinking and chronic high alcohol consumption , injecting opioid and amphetamine users, and club scene drug users. Norway Oslo OUH All kind of people elder than 18 years are attending. People below 18y attend to a child-Hospital also located in the OUH-area. After stabilization, patients are sometimes continued to local hospitals. The area around centre is a settlement area where people live and work and in connection to several travelling possibilities: bus, tram and subways. Type of people using drugs: young people attending to private parties and from the city night-life, and people in all ages using drugs in combining also because of addiction. Young and elder heroin users, GHB users, recreational stimulant users, party goers etc. In our Department of Acute Medicine, the intensive care unit has 10 beds and the Observational unit has 17 beds for observational use for several medical needs. Most severely poisoned patients from a catchment area of approximately 3 million people. The Department consists of an observational unit of 17 beds with a medical intensive care unit of 12 beds and it hosts the Norwegian CBRNe Centre of Medicine. All five Clinical consultants for the National Poisons Control Centre are also employed at the same department. Poland Gdansk The cities of Gdansk, Gdynia and Sopot Triplecity form a large port with numerous night clubs and a large academic centre about , people. Only cases with serious toxicity are admitted. Romania Bucharest Patients under 18 years old with acute overdoses are admitted to the centre. Slovakia Bratislava Largest medical facility in Slovakia Wider city centre of Bratislava and one of three EDs in the University Hospital located in this city area The common public area of the capital of Slovakia, city of Bratislava NTIC, is a national clinical toxicology service providing advice and information to the health care providers, the general public, and other national organizations. NTIC has about toxicological consultations per year. Stimulant drugs more common than heroin and opioids. A high use of cannabis and GHB. Patients in the ER are seen by internists, with consultant toxicologist on-call. Centre for Clinical Toxicology has 6 monitored beds and 15 beds in a general ward. Excluding infectious disease, paediatric, surgical, neurological and psychiatric emergencies. Psychiatric evaluation and treatment is provided by a detached Psychiatric clinic. Toxicology Laboratory of the Institute of Forensic Medicine performs toxicological analyses. Spain Barcelona Many of our patients are recreational drug users and also participants in chemsex sessions. Spain Palma de Mallorca No formal reference consultant is on-call for toxicology Switzerland Basel Switzerland Bern This last association has staff present during certain nightlife events and propose a safe place to discuss about drugs, information and support. Patients treated in the ED and discharged or admitted as appropriate Switzerland Lugano Urban and rural areas. ER located near open drug scene and night life settings; commonly seen in ER are mostly recreational stimulant users. Serves as referral centre for Southern Switzerland. Management of poisoned patients involves the emergency physician, supported by the consultant clinical pharmacologist and toxicologist when needed. If required, management continues in medicine or critical care wards. The Netherlands Amsterdam Many of the drug related patients are national or international tourists. Drug use is mostly related to social events, although people with chronic use are also seen. In case of severe toxicity, intensive care medicine, internal medicine, the hospital pharmacist and a clinical toxicologist will be involved. The Netherlands Utrecht However, the city center also has a hospital with an ED. The hospital is located within Utrecht Science park. There are student housing facilities on the park and one restaurant, but other than that there is little to do and it is surrounded by grass-lands. The type of people are mostly recreational stimulant users and partygoers The UMC Utrecht is the regional referral center also known as a level 1 trauma center for the Central Netherlands region with a catchment area of 1. These patients are seen in the ED by specialists on call from acute internal medicine or intensive care. United Kingdom London Additionally, presentations are from street homeless and hostel dwellers. South east London. It has a diverse socioeconomic resident population. Central west and northwest London High numbers of stimulant recreational drug users, patients using drugs for chemsex and high rates of homelessness in the local area. Support from a local liaison psychiatry team. Main subject. Target audience. Publication type. Hospital emergencies data. On this page. Located in city with very large student population 63 students on a population of , very active party scene week and weekends , a few large night clubs in the area. All poisonings are treated by the emergency physicians in the ED, if needed admitted to ITU and treated by intensivists. Specialist toxicology clinic and teaching facility. The centre is located in the main public hospital of the capital city, however it is not located near an open drug scene or nightlife settings. The users more commonly presenting are recreational stimulant users cocaine , cannabis users as well as people with high risk use such as heroin and methamphetamine. Poisoned patients are initially managed within the ER and, if further treatment is needed, admitted to the general medicine wards or intensive care unit. Emergency patients are seen by internists or anesthesiologists. Western part of Estonia. Poisoned patients are initially managed within the Emergency Room and, if further treatment is needed, may be admitted to the general medicine wards or intensive care unit. Outside the town centre so recreational drug users may be admitted to one of the other two hospitals. Patients are initially treated by the emergency medicine doctors in ER and if further treatment is needed, the patients are transferred to intensive care or general medicine wards. The area is a usual open drug scene with opioid users. Poisoned patients are admitted directly and treated separately from the general medical ER at the department of Clinical Toxicology. Large rural town population of 41, Initial management of toxicological emergencies is in the ED with admission under general medicine or critical care if required. Night-time economy venues, street homeless and hostel dwellers. During office hours Toxicology Service are on site. The Israel Poison Information Center - the only service of its kind in the country - located at Rambam Health Care Campus and provides expert advice on poisonings to the healthcare system and the general public. Monza is a quiet, wealthy medium-sized city with no special problems about drugs, although wealth may contribute to the use of recreational drugs. These patients are seen by ER medical staff and the consultant toxicologist is on-call by telephone from Poison Control Centre. Outskirts south of Milan, near night clubs and discos. Several patients with psychiatric problems and substance abuse who do not usually belong to our ER because they do not have psychiatry. A nearly whole country catchment area. Party goers presentations tend to be highest from April-Sept with another small peak in November. There is no formal toxicological service, with poisoned patients being treated in the Emergency Department, intensive care, paediatric wards or general medical wards. Centre includes a Poisons Information Centre and Detoxification department admission only during office hours. Located in the city centre, close to both main nightlife areas, safe consumption room, and open opioid addict scene. In Norway patients cannot present directly to hospitals, but have to be assessed in primary care or by the ambulance service first. The most severe poisoned patients in the region. Staff specialises in internal diseases, clinical toxicology and emergency medicine. Teenagers and young people using especially cannabis and recreational drugs, in clubs, private parties, street, school or universities. Emergency Department ED in a teaching hospital which is the reference institution in the country for clinical toxicology. Seen in the Emergency and Clinical Toxicology Clinic by specialists of internal medicine with sub-specialisation in clinical toxicology. Wider city centre of Bratislava and one of three EDs in the University Hospital located in this city area. NTIC, is a national clinical toxicology service providing advice and information to the health care providers, the general public, and other national organizations. Centre of the city, with many nightlife venues around. Leading tourist destination - large migrant population of tourists and seasonal workers especially during summer months, with over 8 million foreign tourists each year. Primary hospital for a resident population of about , and as a reference hospital for over a million people. The ER treats poisoned patients on arrival; poisoned patients are reviewed by a member of the Clinical Toxicology Unit when on-duty or during office hours. Several safe consumption rooms in Basel, opioid abuse often, recreational stimulant users, no open drug scene in Basel. Primary care facility walk-in patients and tertiary referral centre for hospitals in the greater Bern area. A small city and there are some local night clubs and a drug treatment facility in the vicinity. Poisoned patients are seen by the emergency physicians with clinical pharmacologists and toxicologists on-call when specialised advice is needed. From night-time economy venues. Specialized clinical pharmacology and toxicology unit providing consultancy to and collecting data from EDs of a network of 4 public academic teaching hospitals in Southern Switzerland. OLVG is a city centre hospital in Amsterdam. Not located near open drug scene or safe consumptions rooms. The type of people are mostly recreational stimulant users and partygoers. The UMC Utrecht is the regional referral center also known as a level 1 trauma center for the Central Netherlands region with a catchment area of 1. Drugs used in the local streets, abandoned squatted houses and private residences and in local night-time economy venues. Deprived area with low income and education attainment households where whole families may use and deal drugs, usually synthetic cannabinoids. These patients are seen by the emergency medicine specialty program residents and their instructors. Patients are seen by the Clinical Toxicology service during office hours in the ER, intensive care or general medical wards and out of hours a consultant toxicologist is on-call. ED in teaching hospital. High numbers of stimulant recreational drug users, patients using drugs for chemsex and high rates of homelessness in the local area. Patients are managed initially within the Emergency Room and, if needed, may be admitted to the Acute Medical Unit or critical care areas under the care of a General Physician. Please consider the total number of presentations in a centre for a given year when interpreting percentages.

Buy MDMA pills Gdynia