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A 23-year-old woman is brought to the ED by federal police from the airport....

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A 23-year-old woman is brought to the ED by federal police from the

airport. They think she has ingested large amounts of drugs during her flight

from Bali. In fact, a female undercover policewoman witnessed her ingestion of

multiple bags of white substance in the toilet just before arrival at the

Sydney airport.

On examination, she looks well and has denied the ingestion

of any substance other than food. After her CT abdomen -pelvis, where several

discrete “packages” are evident, she admits to the ingestion of drugs. HR 100 bpm, BP 120/70 mm Hg, temp 36.5°C, RR

14/min, O2sat 98% on room air.

Question:

What is the most appropriate method of removing the drugs in

the ED?

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