Title: Not your ordinary Bath product
题目：这不是你的普通沐浴品
Author 作者: Kishan Kapadia
翻译 ：于璐 何磊磊 校对： 陈都 肖锋

Bath salts (synthetic cathinones) commonly contain multipe synthetic drugs and can be ingested, smoked, or administered intravenously.  The designer stimulant mephedrone (4-methylcathinone) is among the most popular of the derivatives of the naturally occurring psychostimulant cathinone.  Bath salt use is on the rise and is responsible for a large number of ED visits.
浴盐（合成卡西酮）通常包含多个合成药物，其可以摄入、吸入或静脉注射。甲氧麻黄酮兴奋剂（4－甲氧麻黄酮）是天然形成的精神兴奋剂卡西酮的最流行的衍生物之一。浴盐的使用在上升，导致急诊科就诊量的增加。
In spite of their ban, bath salts are still available over the counter in specialty shops and through the Internet with common product names such as: "Ivory Wave," "Cloud 9," "Purple Wars," "Vanilla Sky," "Bliss," etc.  They are commonly marketed with the disclaimer, "not for human consumption." 
尽管有禁令，但浴盐仍可在柜台、专卖店或通过互联网购买到，常见的产品名称如:“象牙波”， “云9”， “紫色战”，“香草天空”，“幸福”, 等等。它们通常伴有免责声明销售，上面都写着“不是供人类食用。”
Their presentation mimics other sympathetic drugs through pathways similar to amphetamines.  The primary psychological effects have a duration of roughly 3-4 hours, with physiologic effects lasting from 6-8 hours.
他们能够产生类似其它兴奋剂药物的迷幻效果，作用途径有点类似于安非他命。主要心理影响的持续时间大约3 - 4小时, 生理效应持续6 - 8小时。
Physical Effects
生理影响 Behavioral & Mental Status Effects
行为与心理健康状况的影响
Tachycardia
心动过速
Agitation
躁动
Hypertension
高血压
Paranoia
偏执
Dysrhythmias
心律失常
Hallucinations
幻觉
Hyperthermia
高热
Psychosis
精神病
Seizures
癫痫发作
Violent behavior
暴力行为
Sweating
出汗 Delusions
错觉

Management is largely supportive and includes IV hydration, benzodiazepines, and close monitoring in the ICU setting.
治疗手段在很大程度上是支持性的——包括静脉补液、苯二氮卓类, ICU密切监测。

References 参考消息：
Imam SF, Patel H, Mahmoud M, et.al. Bath salts intoxication: A case series. JEM 2013;45(3):361-365.