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Important management tips: Very Rapid Cooling Sedation with Benzodiazepines Complications of MDMA-related Hyperpyrexia Delirium and agitation Seizures Rhabdomyolysis Hyperkalemia Arrhythmias Metabolic acidosis Myocardial ischemia Cerebral ischemia Cerebral edema Acute kidney injury Pulmonary edema Acute respiratory distress syndrome Hepatotoxicity Coagulopathy Shock necessitating vasopressor / inotropic support References: Patel MM, Belson MG, Longwater AB, Olson KR, Miller MA

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