A 21-year-old man from a Seattle suburb died on Sunday, one of seven people hospitalized from the fest.
One man died and dozens of people were treated after overdosing on a drug called Molly at a weekend music festival at the Gorge Amphitheatre in central Washington, authorities said.
More than 25,000 people attended the sold-out, two-day Paradiso Festival, which features dozens of electronic music performances.
An autopsy was scheduled Monday on a 21-year-old man from the Seattle suburb of Des Moines, said Chelan County Coroner Wayne Harris. The man died Sunday at Central Washington Hospital in Wenatchee. His name was not released.
He was one of seven people from the music festival who were taken to the hospital. Three remained in serious condition, said Kathy Hamilton, director of community relations.
Quincy Valley Medical Center, the closest hospital to the amphitheater, treated and released about 70 other concert-goers in its emergency room from Thursday through Sunday, spokeswoman Michele Wurl said, with at least 40 of the cases related to drugs and alcohol.
The small, rural hospital has no intensive care unit and serious cases were transferred.
"We deal with the gorge all summer long," Wurl said. "What we're seeing this year is much higher acuity - more severe - in the drug use,"
Molly seemed to be a generic name for a cocktail of drugs, she said.
"They don't even know what they're taking," Wurl said. "They take a hit and 30 to 45 minutes later they take a second. So they get them maxing out one after another. ... We're not talking about too much drinking or smoking a little marijuana."
Deputies handled 62 calls for service at the Paradiso Festival and arrested 23 people for various charges, including possession or delivery of controlled substances, trespassing, obstructing a public servant, assault and disorderly conduct, the Grant County sheriff's office said in a statement. The concert promoter contracts with the sheriff's office to supplement security.
The number of arrests is not unusual for a concert at the Gorge, said Undersheriff Dave Ponozzo. Some people seen by medical personnel were using Molly or MDMA, he said. MDMA is also known as ecstasy.
The sheriff's office said a 20-year-old Seattle man had been found disoriented but OK on Monday after wandering lost for hours after taking the drug.
"Most in attendance were very respectful people to us and to one another," Ponozzo said in an email. "I found them to be very social people, many of who went out of their way to thank us for being there."
Most of the audience stays at a campground on the site overlooking the Columbia River about 120 miles east of Seattle.
Concerts at the Gorge put pressure on the Quincy Valley Medical Center emergency room, which typically sees about nine people a day. The Paradiso Festival was the third concert this year at the Gorge.
© 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.