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MAPP-SD, a project of Prairie View Prevention Services, Inc., is a comprehensive
Methamphetamine awareness and prevention project.
MAPP-SD is dedicated to:
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Increase
awareness of Meth and the problems associated with its use, manufacture and
distribution;
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Provide, at no cost, professional Meth awareness and prevention education to
groups and organizations on a community, regional and statewide level;
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Be a no-cost, ongoing resource for South Dakota citizens to deal with issues
rising from the manufacture, use and distribution of Meth.
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Medical Response to Needs of
Drug Endangered Children |
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Drug Endangered Children
General Overview
It’s the Law: HB 1258
Angels in Black -
A child’s vision of hope
Information for Mandatory Reporters
*Tips
for Home Visitors
Signs of Exposure in Children
Growing Up With Meth
Start a DEC Team in 10 Easy Steps
DEC Team Protocols
-Emergency Room
-Decontamination
-Law Enforcement
-Child Protective Services
-Medical Facility
-Immediate
Follow Up
-Long
Term Follow Up
Dr. Kathryn Well's Papers: "Meth Impact on Children"
DEC Links
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These are
recommended procedures developed by the National Alliance for Drug
Endangered Children. Various localities may need to adjust the strategies
depending on their resources. As local, state and federal protocols are
approved and implemented, this information will be updated.
The first task of a
medical team in a drug endangered child situation (if case does not call
for emergency activation) is to evaluate and begin necessary treatment.
Medical personnel also play a vital role in collecting and preserving
evidence.
1) Head to toe exam of the
child within two to four hours to ensure medical stability and document
any acute findings that might need treatment or change over time. This
may take place in an emergency room, physician's office or by EMTs on the
scene. This initial exam should include (but NOT be limited to) a good
pulmonary exam, skin exam, neurological exam and affect (IE: scared,
happy, detached, etc.). This may include observations by EMTs, RN on the
scene or other personnel to document the affect of the child.
2) Blood tests need to
include a CBC (anemia, cancers, thrombocytopenias), chemistry panel
including BUN/Cr and LFTs (kidney and liver damage, electrolyte
imbalances). This can be done acutely or within 72-hours.
3) Collect urine for
toxicology. This should happen as soon as possible but MUST occur within
six hours for optimal results. Submit to a lab that screens and reports
for the level of detection of the test not just at NIDA standards.
Chain of Evidence forms may be used or usual medical protocols for urine
toxicology screens may be followed.
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