Thank you Cam Mecham, OMS IV, for developing this topic. In terms of test preparation, this is very low yield. This presentation describes how bath salts appeared, the effect on neurotransmitters and why this may create such a variable presentation. This was a fascinating topic to develop and fits in well with the presentations Cam developed for recognizing and treating patients in the Emergency Department that arrive with intoxication syndromes.

The following articles are available freely on the internet and were found to be very helpful in understanding these compounds:

De Felice article (Remarkable description of the origin and understanding of these molecules): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3944897/pdf/nihms-547873.pdf

Simmons article (Comprehensive review of bath salts): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197900/pdf/nihms967366.pdf 

Prosser article (An early description of bath salts): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3550219/

National Forensics Laboratory home page: https://www.nflis.deadiversion.usdoj.gov/NFLISHome.aspx