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Due to how Succinylcholine metabolizes in Lumbee indians. It does not work as it should, immediately, but last longer in the body, causing paralysis a few hours to a few days later. It is a paralytic drug given pre-hospital care for head trauma with breathing issues, etc... Most paramedics know this information as it is one of the required drugs on the EMT-P formulary. Can not say that other medical staff will be as knowledgable.

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Q: Why do you not give succinylcholine to Lumbee Indians?
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