A 2013 reflection on resuscitating patients with suspected recreational drug-induced hyperthermia when the history is incomplete. It explores diagnostic uncertainty, cooling, complications and difficult airway decisions, emphasising the limits of the evidence and the role of specialist poisons advice.
A 2013 introduction to adder bites for emergency clinicians in the UK, prompted by a snakebite scenario at SMACC. It reviews local and systemic envenomation, supportive care and antivenom, with treatment details explicitly based on poisons information available at the time.
A 2013 response to reports of paramethoxyamphetamine, or PMA, in tablets sold as ecstasy. The post discusses changing patterns of recreational drug use, severe toxicity and hyperthermia, drawing on poisons information and the limited clinical evidence available at the time.
Alan Grayson describes volunteering with Festival Medical Services at Glastonbury in 2013. His account explores the planning, multidisciplinary teamwork and varied presentations behind festival healthcare, from minor injuries to critical illness, and the challenges of delivering emergency care in a field hospital.
What changed when UK paracetamol-overdose guidance was revised in 2012? This historical review discusses the move to a single treatment line, changes to acetylcysteine administration and the implications for admissions, treatment complications and reducing errors in a familiar emergency presentation.
Practical perspectives on trauma care and team leadership.
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